Case Management of the Influenza and Pneumonia … Management.pdfCase Management of the Influenza and Pneumonia Patient with Homeopathy During the COVID-19 Pandemic André Saine, N.D

Case Management of the Influenza and Pneumonia Patient with Homeopathy During the COVID-19 Pandemic André Saine, N.D. American Institute of Homeopathy Webinar—April 4, 2020

Case Management of the Influenza and Pneumonia Patient with Homeopathy During the COVID-19 Pandemic

André Saine, N.D.

American Institute of Homeopathy Webinar— Saturday April 4, 2020

TABLE OF CONTENT

Introduction

Historical evidence of the extraordinary success of homeopathy in times of

epidemics: A brief overview

Why we should knock at every door to request clinical and prophylaxis trials with

homeopathy

The COVID-19 Epidemic—The Perfect Storm

A) High reproductive number

B) Asymptomatic and pre-symptomatic viral spreaders

C) Poor sensitivity of RT-PCR

D) Duration of the COVID-19 illness

E) Virulence of SARS-CoV-2

F) Beware of being overpromised about a soon-to-come SARS-Cov-2

vaccine, as four vaccines for SARS failed to be safe

G) Are we on the verge of changing paradigms?

Complicating factors

It is not all bad news, as there is some good news

Facts to know about epidemics in general and influenza epidemic in particular

Courses of epidemics are not predictable

Laboratory

Our experience so far

Results from the American Institute of Homeopathy database

The common symptomatology, but peculiar to COVID-19

Characteristic symptoms of COVID-19

Homeoprophylaxis

Three severe cases of Covid


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Clinical approach

The key to success in homeopathy is strict individualization

Extra points to maintain and optimize health

Management of the febrile patient

Why it is not a good idea to use NSAIDs and antipyretics (and perhaps

antitussives)

The genius epidemicus

Warnings

Great advantages of knowing the genius epidemicus

The most commonly prescribed flu remedies

Materia medica

The better indicated flu remedies for the current COVID-19

Other influenza remedies

Materia medica of the pneumonia remedies

The main first stage remedies

The main second and third stage remedies

Late stage or asphyxia stage of pneumonia

Carboneum oxygenisatum (Carbn-o) (carbon monoxide)

Convalescence after influenza and pneumonia

The American Institute of Homeopathy database

References

Introduction

In the current COVID-19 epidemic, homeopaths from around the world are being called

upon to treat patients with influenza and pneumonia. Homeopathy has a well-established

record of dealing with such patients in a very safe, cost-effective and effective way.

One of the main goals of this webinar is give a step-by-step description of the

methodology of homeopathy in patients with influenza and pneumonia, including what

you should know before examining such patients, what needs to be specifically

investigated in each patient, how to value the symptoms of each individual patient, how

to choose the most appropriate homeopathic remedy and its potency, how to administer

the remedy, how to assess the patient’s response to the prescribed remedy, how to


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follow-up each patient, and what hygienic measures and natural approaches can be

used to complement the homeopathic treatment.

In other webinars, I have already presented a brief overview of the success of

homeopathy in times of epidemics and specifically review the clinical outcomes and their

implications from the perspective of evidence-based medicine of the homeopathic

treatment of the patients with influenza and pneumonia (a similar presentation to the one

that was presented on March 18 during the American Institute of Homeopathy webinar

on the COVID-19 epidemic and on March 28 during a webinar sponsored by the

Canadian Academy of Homeopathy).

I will also discuss the latest thoughts on homeoprophylaxis and the genius epidemicus

specifically related to the current COVID-19 epidemic.

This webinar could also be a great introduction to clinicians who are not familiar with

homeopathy and its methodology. I am reminded here of Dr. Jean-Pierre Tessier, an

allopath of fame, who had the courage to put homeopathy on trial in his department of a

Parisian hospital with patients, first with cholera, and then with pneumonia. With self-

taught instructions on how to practice homeopathy, he was able to save 23 lives out of

100 patients with pneumonia that were lost in other departments of the same hospital at

the same time.

Physicians who practice homeopathy have been almost completely barred throughout

the world from treating hospitalized COVID-19 patients, despite the fact that the

conventional approach has not been able to offer effective and safe prophylaxis and

treatment.

The great majority of patients who are put on ventilators don’t survive.

Ventilators may be harmful according to this NYC intensivist:

https://vimeo.com/402537849?fbclid=IwAR0rjwd25qRBfiIQ-bVWLt7pNnojAvA-

3C_ArIswVtQBqPemC2baCH6pDdg

https://vimeo.com/402537849?fbclid=IwAR0rjwd25qRBfiIQ-bVWLt7pNnojAvA-3C_ArIswVtQBqPemC2baCH6pDdg

https://vimeo.com/402537849?fbclid=IwAR0rjwd25qRBfiIQ-bVWLt7pNnojAvA-3C_ArIswVtQBqPemC2baCH6pDdg


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Incidentally, during the 2014 Ebola epidemic the WHO concluded, “It is ethical to offer

unproven interventions with as yet unknown efficacy and adverse effects, as potential

treatment or prevention.”i

Has not the time come for governments, health agencies and physicians to seriously

consider opening the door to homeopathy, as morbidity and mortality from influenza and

pneumonia could be dramatically lessened by the simple application of homeopathy in

the current COVID-19 epidemic?

If we take Italy, one the hardest hit countries, as of April 3, 119,827 cases with confirmed

COVID-19 had been reported, of which 14,681 persons have died (a 12.25% mortality

rate of all confirmed cases), with 4,068 or 34% still remaining in a serious or critical

condition.

The fact that only 19,758 (16%) have so far recovered and 85,388 or 71% are still

actively ill shows that recovery can be long and difficult.

A New York City anesthesiologist, whose husband intubates Covid-19 patients stated

that only 20% of patients get extubated in private hospitals and none in public hospitals.

This 20% difference between private and public hospitals is explained as being greatly

due to the lack of health care givers, personal attention given to each patient and

general expertise in the art of keeping an intubated patients alive in public hospitals.

She said that out of 251 hospitalized patients with Covid-19 in her hospital, 90% are

ventilated and 75% are transferred to the ICU.

It is known that homeopathy can greatly speed up the recovery time without leaving

patients weakened by the treatment.

For instance, homeopathy was found beneficial when it was used as an adjunct

treatment in recent clinical trials during epidemics of two severe viral diseases, that is in

a dengue hemorrhagic fever epidemic, hospital stay was decreased by 2 days,ii and in

acute encephalitis syndrome/Japanese encephalitis epidemic, mortality was 14.8% with


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adjunctive homeopathy versus 29.8% without homeopathy.iii In neither of the trials,

adverse effects from homeopathy were observed.

Aside from the current COVID-19 epidemic, the knowledge on how to properly manage

influenza and pneumonia patients with homeopathy would save a great number of lives

every year by its systematic application on an ongoing basis in every hospital,

community clinic and village in the world.

Close to one million children under the age of five years die every year from

pneumonia—more than AIDS, malaria and tuberculosis combined, and which accounts

for 18% of all deaths of children under five years old worldwide. This doesn’t need to be

so, as even the most severe cases of pneumonia recover quickly and gently under

homeopathic treatment.

Historical evidence of the extraordinary success of homeopathy in times of epidemics: A brief overview Likely the most compelling evidence for the effectiveness homeopathy is found in its

extensive records in times of epidemics.

The homeopathic literature is very rich in reports on the results obtained in the

homeopathic treatment during times of epidemics, as close to 10,000 references have

so far been found.

The main finding in a review of this vast literature is that the results obtained by

homeopathy during epidemics consistently reveal an extremely low mortality rate.

This observation holds true regardless of the physician, the time, the place or the type of

epidemic disease, including diseases that are known to have very high mortality rates,

such as cholera, smallpox, diphtheria, typhoid fever, yellow fever and pneumonia.

I will now present a few striking examples to illustrate this constancy of astonishingly low

mortality rates.

It is well recognized that infectious diseases have often made more casualties among

armies than combat and have thus shaped the destiny of nations more than any other

factor.


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Napoleon left France in June 1812 to conquer Russia with 600,000 soldiers, and only

3,000 of these were still alive one year later.

It is estimated that he lost close to 220,000 soldiers solely to epidemic typhus.

In 1813 in his second attempt to conquer Russia, Napoleon retreated with his army to

the city of Leipzig where he was surrounded by the Allied armies and where the largest

battle in European soil would occur prior to WWI, what became known as the Battle of

the Nations.

Incidentally, Dr. Samuel Hahnemann, the founder of homeopathy, was living in Leipzig

during its siege in the fall of 1813.

Typhus became thus epidemic in Leipzig and every physician was obliged by the

authorities to be in charge of a makeshift hospital to treat its population infested with

epidemic typhus.

In general, mortality from typhus tends to exceed 15%, but can be much higher, even up

to 100% in a famished and stressed population, as it was the case in Leipzig during its

siege.

In his makeshift hospital, Hahnemann treated 183 such cases without losing a single

case, “while the mortality under the ordinary treatment was considerable.” He wrote, “Of

183 patients whom I treated for this affection in Leipzig, I did not lose one, which excited

a great sensation among members of the Russian Government then occupying Dresden,

but was taken no notice of by the medical authorities [of Germany].”

When cholera entered Europe for the first time in 1831, Hahnemann predicted which

remedies would be indicated for the different stages of the disease. His predictions

turned out to be true and millions of people benefitted from his advice, as in all parts of

the world that were visited by cholera in the succeeding decades and where

homeopathy was applied, homeopathy came out with flying colors by decreasing the

death rate from an average of about 50% down to 1-2%.

In a well-documented epidemic of cholera that occurred in Cincinnati in 1849, two

homeopathic physicians published daily in the public press the outcome of their

treatment, which brought national attention.


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By the end of the epidemic, they had treated 2,646 cases with 35 deaths, a mortality rate

of 1.3%, while, “allopathy has lost, according to the report of the Board of Health, nearly

one half of their cases.”

These truly extraordinary results were obtained despite the facts that a fair number of

patients were in a deep state of collapse, as well as many others who had been

mismanaged by practitioners of the conventional school of medicine.

A third example: During the middle part of the nineteenth-century, a most virulent form of

scarlet fever, known as malignant scarlet fever, affected many communities in the

Eastern part of America, where it became the leading cause of death among children.

In Carlisle, Pennsylvania, the homeopathic physician Adolph Lippe reported having

treated in 1849 over 150 cases of malignant scarlet fever without a single death, while

the death rate under conventional medicine was over 90 percent and “the survivors were

crippled for life.“

Such results are truly extraordinary considering the fact that malignant or septic scarlet

fever is the most severe and usually fatal form of scarlet fever where infection becomes

overwhelming, leading to septicemia, circulatory collapse, shock and total organ failure,

with some patients being described as “rotting alive.”

The fourth example is about an epidemic of malignant diphtheria that affected large

communities on the Eastern seashore of the United States between 1859 and 1862.

Three homeopathic physicians in Philadelphia reported having treated close to 300 of

fully developed cases of malignant diphtheria without a single death in the winter of

1860, while the mortality under conventional medicine was over 50%.

The least we can say is that these few examples of the extraordinary results obtained by

homeopathy in times of epidemics are powerful illustrations of a remark made by Nobel

Laureate Sir Ernest Rutherford: “If your experiment needs statistics, you ought to have

done a better experiment.”

Let’s now focus on the current COVID-19 epidemic, a flu-like illness that is precisely the

subject of this webinar.

When people die from the flu or flu-like illnesses, 98% of these die from pneumonia.


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Despite all the advances made in conventional medicine, pneumonia remains today a

major cause of morbidity and mortality even in developed countries.

Globally, pneumonia kills nearly 1 million children younger than 5 years old each year—

more than AIDS, malaria and tuberculosis combined.

The World Health Organization estimates that in developing countries 1 in 3 children die

from or associated with acute respiratory tract infections.

We will therefore focus our attention on the outcome of the comparative treatment of the

pneumonia patient.

All cohorts of 5 or more cases that could be found in the conventional and homeopathic

literature on the outcome of patients with pneumonia in a mixed population of

ambulatory and hospitalized care during the same period of time and in the same parts

of the world have been tabulated here:

Comparative Mortality from Community-acquired Pneumonia (CAP) under PAA,

Expectancy, CCC, Homeotherapeutics and Genuine Hahnemannian Homeopathy

Treatment

Number of

patients

Number of

recoveries

Survival

Rate (%)

Number of

deaths

Mortality

Rate (%)

Pre-antibiotic

allopathy (PAA)

148,345 112,272 75.7 36,073 24.3

Expectancy

379 299 78.8 80 21.1

Current

Conventional Care

(CCC) (limited to

CAP)

33,148 28,607 86.3 4,541 13.7

Homeotherapeutics 25,208 24,343 96.6 865 3.4

Genuine

hahnemannian

960 956 99.6 4 0.4


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homeopathy

Now let’s look at the odds of surviving community-acquired pneumonia under PAA, CCC, homeotherapeutics and genuine Hahnemannian homeopathy.

Odds of Surviving Community-acquired Pneumonia (CAP) under PAA, CCC, Homeotherapeutics and Genuine Hahnemannian Homeopathy

Pre-antibiotic allopathy (PAA)

3:1 (P < 0.0001)

Current conventional care (CCC) (limited to only community-acquired pneumonia)

6:1 (P < 0.0001)

Homeotherapeutics

28:1 (P < 0.0001)

Genuine Hahnemannian homeopathy

239:1 (P < 0.0001)

Now let’s look specifically at the 1918-1920 influenza pandemic, also known as the

Spanish flu and that was associated with an estimated 50-100 million deaths worldwide.

An estimated 675,000 Americans or 0.7 percent of the U.S. population died from

influenza during this pandemic, ten times as many as in WWI and was even more deadly

than the American casualties in World War I, World War II, Korea, and Vietnam

combined. An estimated 43,000 servicepersons mobilized for WWI died from influenza

or half of the American soldiers who died in Europe during WWI.

This table shows a comparison of the results reported by homeopathic physicians during

the fall and winter of 1918-1919 with only one of the large statistical reports for the U.S.

armed forces, namely the one with the lowest reported mortality rate, that is 5.8%, which

represents the mortality rate from the combined effects of influenza and pneumonia

(CIP) under conventional medical care for the entire U.S. armed forces during the fall of

1918.

Comparative Mortality from the Combined Effects of Influenza and Pneumonia (CIP) under Conventional Medical Care and Homeopathy during the 1918-1920 Influenza Pandemic

(NIP)

Number of Number of Surviva Number of Case


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Treatment Patients Recoveries l Rate (%)

Deaths Mortality Rate (%)

Conventional medical care—the entire U.S. armed forces during the fall of 1918

688,869 649,138 94.2 39,731 5.8

Homeopathy—the general U.S. population during the fall and winter of 1918-1919

66,092 65,677 99.3 445 0.7

(or 8 times less than with PAA)

Now if we look at pregnant women, which was the segment of the population that was

most affected during the Spanish flu, the difference is even more striking:

Comparative Mortality from the Combined Effects of Influenza and Pneumonia (CIP) under Conventional Medical Care and Homeopathy during the 1918-1920 Influenza Pandemic in

Pregnant Women

Treatment Number of

pregnant

women

with CIP

Number of

pregnant

women

recovered

from CIP

Percentage of

pregnant

women who

developed

pneumonia

Number of

deaths

Mortality

rate from

CIP (%)

Conventional

medical care

1,561 1,093 51%

(717 out of

1,410)

468 30%

Homeopathy 2,848 2,827 5.7%

(161 out of

2,832)

21 0.7%

And let’s now look at the odds of pregnant women for not developing pneumonia under

conventional medical care versus homeopathy:


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Comparative odds for Pregnant Women for Not Developing Pneumonia during the NIP

Conventional medical care

1:1 (P < 0.0001)

Homeopathy

17:1 (P < 0.0001)

Now let’s look at the odds of surviving the combined effects of influenza and pneumonia

(CIP) under conventional medical care and homeopathy during the 1918-1920 influenza

pandemic (NIP) in three different population, namely the U.S. Armed Forces, in the

general U.S. population and in pregnant women:

Odds of Surviving the Combined Effects of Influenza and Pneumonia (CIP) under Conventional Medical Care and Homeopathy during the 1918-1920 Influenza

Pandemic (NIP) in the U.S. Armed Forces, in the General U.S. Population and in Pregnant Women

Conventional medical care in the U.S. Armed Forces

16:1 (P < 0.0001)

Homeopathy in the general population

148:1 (P < 0.0001)

Conventional medical care in pregnant women

2:1 (P < 0.0001)

Homeopathy in pregnant women

135:1 (P < 0.0001)

When all the confounding factors are examined, including expectancy, the results

obtained by genuine homeopathy in the treatment of the pneumonia patient demonstrate

that:

1. The robust epidemiological and observational evidence clearly establishes cause

and effect between the homeopathic treatment and the recovery of health and saving of

lives.

2. The results obtained by homeopathy during epidemics cannot be explained by

the placebo effect.

3. The treatment effect of homeopathy is positive.


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4. The magnitude of the treatment effect of homeopathy is remarkable.

5. Homeopathy greatly shortens the duration of the disease and the recovery time

without leaving patients weakened by the treatment.

6. Out of 100 cases with pneumonia, homeopathy saved 21 more lives than

allopathy during the PAA era. Today conventional treatment is better than it was before

the antibiotic era, but homeopathy would still save an additional 10 lives.

7. Homeopathy offers the safest and best outcomes ever demonstrated by any

system of medicine for patients with pneumonia and therefore would receive the highest

possible recommendation of any intervention for these patients in the perspective of

evidence-based medicine (1A/strong recommendation with high-quality evidence).

This strong recommendation for homeopathy would have the following implications:

1. Since society values the saving of life more highly than any other outcome,

homeopathy should be the treatment of choice for people with infectious diseases.

2. Patients with CIP should request genuine homeopathic treatment.

3. Clinicians should offer genuine homeopathic treatment to patients with CIP.

4. Policy makers should ensure that homeopathy is adopted as a standard

treatment for this population of patients.

Before concluding, let me say a brief word on homeoprophylaxis, which is based on 200

years of experience of using homeopathic remedies for the prevention of disease during

epidemic.

I will illustrate this point with two brief examples. In 1974-75, there was a major epidemic

of meningococcal meningitis that devastated Brazil. Around 250,000 became ill, more

than 11,000 died and over 75,000 people were left with permanent brain damage.

In one city, 18,000 children were given one dose of a homeopathic remedy once as a

preventive measure. The incidence of meningitis was 7 times less in the group that

received homeoprophylaxis.


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In 2007, Cuba was in a midst of an epidemic of Leptospirosis. In three high-risk regions

with a combined population of 2.4 million persons, 2.1 millions received one or two

doses of homeoprophylaxis and the incidence of Leptospirosis was significantly

diminished, down by 84% in the treated group.

Homeoprophylaxis is known to be safe, effective and cost-effective.

In conclusion for this historical segment

Infectious diseases can greatly shape civilizations and redirect history.

There will always be epidemics and humanity will always be susceptible to them.

Every epidemic is unique and homeopathy is always ready to face such uniqueness,

regardless of its newest or severity.

Harvey Farrington, one of the pillars of the American school of homeopathy said on this

point, “The fact that the homeopath takes cognizance of symptoms per se, whether

indicative of any known disease or not, enables him to correct the condition before

definite disease results; and still more important, he is able to combat new diseases that

have never been heard of before. … Pneumonia if taken in its inception may sometimes

be aborted. Influenza, or the epidemic later called ‘flu’ which created such havoc among

the soldiers in the United States camps and in the army overseas, was treated

symptomatically with surprising success by the homeopathic physicians, while others

were absolutely impotent because they did not know what caused the infection nor did

anyone understand the pathology.”

All flu-like illnesses can evolve into pneumonia, which becomes by far the main cause of

mortality from these illnesses, as close to 98% of persons dying from these flu-like

illnesses is from pneumonia.

The current COVID-19 epidemic is a flu-like illness that severely affects the older and

immunocompromised segments of our population.

Homeopathy is always ready to face new epidemics and it shall rise up to the present

challenge of the COVID-19 epidemic.


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The epidemiological evidence clearly shows that homeopathy discloses a very

consistent and strong prophylactic and therapeutic effect and real-world, long-term

effectiveness, while is at the same time safe and cost-effective, and should therefore

play a major role in the public health systems.

Finally, the take home message I want to leave the audience with is that no one should

ever die from pneumonia under proper homeopathic treatment, regardless of the

severity of the case, the age of the patient or any associated comorbidity, as after forty

years of homeopathic practice and having treated over 250 cases with pneumonia with

perfect success, despite the fact that a great number of these were on their deathbed,

whether the implicated microorganism was viral, bacterial or fungal, and regardless of

the severity of the illness, the underlying complications such as immune deficiency, heart

failure, kidney failure, lung cancer or meningitis, or the age of the patient, as in

centenarians left for dying without anymore treatment, or in patients infected with

resistant microorganisms.

The answer to this question seems to be clear on to whether homeopathy should be

tried in these dire times.


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And as usual, I will now leave this part of my presentation with the great genius behind

homeopathy, Hahnemann:

“How insignificant and ridiculous is mere theoretical skepticism in opposition to this

unerring, infallible experimental proof!”

Why we should knock at every door to request clinical and prophylaxis trials with

homeopathy

For reasons already mentioned above and others mentioned below, everyone in a

strategic position should request governments and health agencies to begin as soon as

possible clinical and prophylaxis trials with homeopathy. We need to knock on as many

potential doors as we can with the hope that at some point someone will listen and

realize the great reasonableness of our request, which should be emphasized is for the

sake of all. Our arguments for this request are very strong and indisputable:


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1- Our two-hundred-year record in epidemics is extraordinary and has never been

seriously disputed in two over centuries.

2- In the current Covid pandemic, our preliminary results are beyond all expectations,

except for the ones who really understand the potential of homeopathy in epidemics and

would be surprised that people in severe and even critical stages have recover fairly

quickly, gently and with little efforts.

3- This epidemic is here to stay and recurrence SARS-CoV-19 epidemics will keep

occurring around the world for many more years.

4- This pandemic is carrying a very mortality rate, especially in the elderly segment of

our societies and is creating great havoc in people social life and every economy of the

world.

5- No one can predict the long-term health effects of this pandemic on the population,

such an 11% mortality within the first year in the ones who have been hospitalized and

have survived community-acquired pneumonia.iv

6- During the 2014 Ebola epidemic the WHO concluded, “It is ethical to offer unproven

interventions with as yet unknown efficacy and adverse effects, as potential treatment or

prevention.”v

7- By adding homeopathy as an adjunct to conventional medicine, patients, clinicians,

conventional medicine and society as a whole have nothing to lose, but to the contrary

have everything to gain, if we obtain the same success, as the ones that have already

been obtained.

8- When homeopathy was previously added as an adjunct treatment in recent clinical

trials during epidemics of two severe viral diseases, it was found to be clearly beneficial.

For instance, hospital stay was decreased by 2 days when homeopathy was added to

the treatment of patients during a dengue hemorrhagic fever epidemic,vi and mortality

was 14.8% with adjunctive homeopathy versus 29.8% without homeopathy during an


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epidemic of acute encephalitis syndrome/Japanese encephalitis epidemic.vii In neither of

the trials, adverse effects from homeopathy were observed.

It would be difficult to understand why persons in their right mind would say no to such

indisputable arguments.

The COVID-19 Epidemic—The Perfect Storm

A) High reproductive number

At an average of 3.28,viii the reproduction number (R0) of COVID-19 is quite higher than

the seasonal flu at 1.28.ix

And is similar to the Spanish flu with estimates of 1.2-3.0 for non-confined populations.x

Virologists have followed virus traveling around the world in 24h on the wings of world

travelers. Infected persons with SARS-Cov-2 have now been found in nearly every

country of the world (205 as of this morning).

Likely SARS-CoV-2 is here to stay and will continue to be transmitted from human to

human until general herd natural immunity has been attained.

There are many folds more carriers of the virus than the number of individuals who have

tested positive for SARS-CoV-2.xi

B) Asymptomatic and pre-symptomatic viral spreaders

A large percentage of infected people remains asymptomatic: As of February 20, tests of

most of the 3,711 people aboard the Diamond Princess confirmed that 634, or 17

percent, had the virus; 328 of the 634 or 51% of confirmed cases did not have symptoms

at the time of diagnosis.xii

It is now thought that 25% of all infected persons will continue to remain asymptomatic.xiii

Viral shedding and viral load are greater in asymptomatic persons. In seven of 24

passengers who had just flown in from Israel tested positive for coronavirus. Four of


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those had no symptoms, and the viral load from the asymptomatic patients was higher

than the viral load from the three patients who did have symptoms.xiv

A person can shed the virus for over a month,xv and a proportion of recovered patients

have remained virus carriers.xvi

A study posted lately by Belgian and Dutch researchers shows that between 48% and

66% of the 91 people in the Singapore cluster contracted the infection from someone

who was pre-symptomatic. Of the 135 people in the Tianjin cluster, between 62% and

77% caught it from someone who was pre-symptomatic. xvii

Canadian, Dutch and Singaporean researchers looked at the same outbreaks in Tianjin

and Singapore and found that infection was transmitted on average 2.55 days and 2.89

days before symptom onset respectively in each location.xviii

The fact that asymptomatic persons shed the virus,xix it is quite different than the 2003

SARS epidemic, as only symptomatic persons were then infectious.

Therefore to test for fever when people land in a country or before they enter a

conference room as a screening method as it was until recently to identify infected

persons is like using a colander to contain a watery soup.

Average incubation period of COVID-19 is around 6.4 days, but can range from 0-24

days.xx

The mean incubation period was 7.1 (6.13, 8.25) days for Singapore and 9 (7.92, 10.2)

days for Tianjin. Both datasets had shorter incubation periods for earlier-occurring

cases. Shorter serial intervals lead to lower estimates of R0, which suggest that half of

all secondary infections should be prevented to control spread.xxi (The serial interval, in

the epidemiology of communicable infectious diseases, refers to the time between

successive cases in a chain of transmission.)

Once symptoms of respiratory distress make their appearance, the downhill course can

quite rapid. Physicians must therefore be on the alert.


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The median time from first symptom to dyspnea is 5.0 days, to hospital admission 7.0

days, and to ARDS 8.0 days. xxii

There is some evidence that COVID-19 can manifest itself in a biphasic mode: which

means that a person develop a mild illness, followed by signs of recovery, but then

worsen suddenly and dramatically into a more severe or later stage of the disease.

China and Japan have reported cases in which patients see their symptoms subside and

are discharged from hospitals with two successive negative tests—only to test positive

for the coronavirus again, which affects up to 14% of the patients.xxiii

It is not clear if these are cases of biphasic phase of the virus, re-infection or due the

lack of sensitivity and specificity of the RT-PCR.

If it is biphasic, where the virus lurks around undetected before recurring, the medical

community will be in big trouble.

If you put SARS-CoV-2 in aerosol form and keep it in the air, the half-life is several

hours. If you drop it on a metal surface or cardboard, it could survive about a day and up

to 72 hours, although the infectivity decreases with timexxiv

FDA has recently approved a two-minute antibody test (by Cellex) to identify people who

were infected but remained asymptomatic.xxv Also, RayBiotech has recently come out

with an IgG and IgM 10-minute test that can use a drop of blood from a finger prick.xxvi

C) Poor sensitivity of RT-PCR

Another problem is that the diagnosis for SARS-CoV-2 infection is currently largely

based on RT-PCR, and unfortunately it is unreliable because of a high rate of false

negative and some false positive results especially in places that perform this test in

large numbers.

The RT-PCR test is not very sensitive, as study gave a sensitivity level of 59% and

another at 71% (30-40% of false negative), (with 21% of false positive).xxvii,xxviii


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Of 1014 patients with COVID-19, 601 had positive and 413 had negative RT-PCR

results with a positive rate of 59% (601/1014) (95% confidence interval [CI], 56%—

62%).xxix

Of 601 patients with positive RT-PCR results, 97% (580/601) had positive chest CT

scans. Of 413 patients with negative RT-PCR result, 75% (308/413) had positive chest

CT scans.xxx

Therefore, the low sensitivity of RT-PCR implies that a large number of infected persons,

particularly the asymptomatic persons, will not be identified quickly which means that

given the highly contagious nature of the virus, they carry a risk of infecting a larger

population.

Further, the turnaround time of the RT-PCR is typically 72 hours. It is difficult to contain

people who are waiting for their results. In NYC I was told that the turnaround for the

PCR test is about 7 days.

D) Duration of the COVID-19 illness

The time from symptom onset to recovery ranged from 12 to 32 days.xxxi

These non-specific signs and symptoms of mild illness early in the clinical course of

2019-nCoV infection may be indistinguishable clinically from many other common

infectious diseases, particularly during the winter respiratory virus season. In addition,

the timing of our case patient’s progression to pneumonia on day 9 of illness is

consistent with later onset of dyspnea (at a median of 8 days from onset) reported in a

recent publication.xxxii

The median duration of hospitalization was 12.0 days (mean, 12.8). xxxiii

From illness onset, the median time to discharge was 22 days, and the average time to

death was 18.5 days.xxxiv

The median time delay of 13.8 days from illness onset to death should be considered

when estimating the case fatality risk of this novel virus.xxxv


21

During hospital admission, most of the patients received a diagnosis of pneumonia from

a physician (91.1%), followed by ARDS (3.4%) and shock (1.1%). xxxvi

E) Virulence of SARS-CoV-2

This pandemic will likely be the most virulent of all times.

As of this morning there were 1,130,575 confirmed cases worldwide; of these 60,124

had died, or 5.3%, and with 836,372 active cases or 74% of the confirmed cases waiting

for their fate.

If the mortality rate remains at 5.3%, this pandemic will be twice as deadly as the

Spanish flu, which had a mortality rate of 2.5%.

However, so far in Italy, one of the hardest hit countries, at least 12% of the confirmed

cases have died, while another 72% still wait for their fate.

Coronavirus epidemics have carried in the past a quite high mortality rate.

For instance, the 2003 outbreak of severe acute respiratory syndrome (SARS) had a

case fatality rate of around 9.6% (8098 cases and 774 deaths) in 29 countries, (mortality

rate was 6.6 in China and 16.4 outside of China while Middle East respiratory syndrome

(MERS or camel flu) killed 34% of people with the illness between 2012 and 2019 (2494

cases and 858 deaths).xxxvii

About 80% of infected persons are asymptomatic or have a mild case, about 15% have

a severe illness and 5% are critical and about 50-100% of these die (a 3.5% death

rate).xxxviii

This first preliminary description of outcomes among patients with COVID-19 in the

United States indicates that fatality was highest in persons aged ≥85, ranging from 10%

to 27%, followed by 3% to 11% among persons aged 65–84 years, 1% to 3% among

persons aged 55-64 years, <1% among persons aged 20–54 years, and no fatalities

among persons aged ≤19 years.xxxix


22

The virus can establish infection in the lungs where it produces tissue injury well before

producing symptoms, including dry cough and fever that occur later on.xl

An infected person can develop fibrositis with or without consolidation of the lung, which

is ultimately the cause of respiratory failure and death, and can remained asymptomatic

until later in the disease process.xli

It is thought that persons, especially the older ones, who survived the later stage of lung

fibrositis will remain handicapped with fibrotic lung tissues.

The lesions usually start in the peripheral lung zones close to the pleura, as single or

multifocal ground glass opacities. Only when the lesions become more intense or

expand do patients develop symptoms. Often, the first symptom is a dry cough. Most

patients recover. However, some experience disease progression and their lungs

contain large areas of consolidations, at which point there is severe loss of function

leading to respiratory failure.xlii

Further, a recent study showed that renal damage was caused by virus and antiviral

drugs.xliii

F) Beware of being overpromised about a soon-to-come SARS-Cov-2 vaccine, as

four vaccines for SARS failed to be safe

Some of the experiments previously done on SARS suggested that when animals

developed antibodies and then were given the virus, they had greater lung injury due to

the presence of the antibodies.xliv

The first known SARS epidemic occurred in 26 countries from November 2002 to July

2003 and resulted in 8,000 cases, especially within health care setting. There is still no

vaccine to protect against the SARS-CoV. The WHO stipulates about such a vaccine,

“None. Experimental vaccines are under development.”xlv

However, the results of at least four SARS-CoV vaccine experimentations in humans

were published between 2006 and 2008, therefore 3-5 years later.xlvi As of 2020, there is


23

no cure or protective vaccine for SARS or MERS that has been shown to be both safe

and effective in humans, despite the fact that it was a priority for governments and public

health agencies around the world.

The effort to develop vaccines was hampered by the occurrence in the initial preclinical

trial of an immunopathogenic-type lung disease among animals given a vaccine and

challenged with infectious SARS-CoV, reminiscent of reaction to prior trials with

respiratory syncytial virus vaccines, and an “enhanced disease among infected animals

vaccinated earlier with a coronavirus vaccine,” And followed with the conclusion: “This

combined experience provides concern for trials with SARS-CoV vaccines in humans.

Clinical trials with SARS coronavirus vaccines have been conducted and reported to

induce antibody responses and to be ‘‘safe’’ [29,30]. However, the evidence for safety is

for a short period of observation. The concern arising from the present report is for an

immunopathologic reaction occurring among vaccinated individuals on exposure to

infectious SARS-CoV, the basis for developing a vaccine for SARS. Additional safety

concerns relate to effectiveness and safety against antigenic variants of SARS-CoV and

for safety of vaccinated persons exposed to other coronaviruses, particularly those of the

type 2 group.”xlvii

There are four other coronaviruses in circulation that regularly infect humans, with

symptoms typical of a common cold.xlviii

“Because of well documented severity of the respiratory disease among infants given an

inactivated RSV vaccine and subsequently infected with RSV that is considered to be

attributable to a Th2-type immunopathologic reaction and a large number of studies in

the Balb/c mouse model that have described and elucidated many components of the

immunopathologic reaction to RSV vaccines, the similarity to the SARS-CoV vaccine

evaluations in Balb/c mice supports caution for clinical vaccine trials with SARS-CoV

vaccines in humans.”xlix

A recent editorial in Science stated worries about underpromising and overdelivering a

SARS-CoV-2 vaccine, “This is not just fixing a plane while it’s flying—it’s fixing a plane

that’s flying while its blueprints are still being drawn. … As for vaccines, we know so little

about SARS-CoV-2. Developing a vaccine could take at least a year and a half—as


24

many experts have suggested—or maybe won’t happen at all. Fortunately, a clinical trial

for a vaccine is already underway in the United States, but the public must be told that

these early vaccines may not work or be safe—that this vaccine is only being tested for

safety, not efficacy, at this point. ”

“Scientists involved in COVID-19 research know these caveats. But the general public—

who are agonizing over how long this pandemic will last, how it will affect the economy,

and whether they and their loved ones will be safe—are looking for hope wherever they

can find it. If science can deliver answers, public trust in science could increase

substantially (the high point for trust in science in the United States was at the end of

World War II). But if the scientific community contributes to building up hope in the fight

against COVID-19, but then doesn’t deliver, the consequences for science could be dire,

especially if politicians continue to amplify the false hope irresponsibly. … And I worry

about lasting damage if science overpromises.

Let’s underpromise. Let’s overdeliver. ”l

Finally beware that since 2005, dozens of previously unknown bat CoVs have been

identified and there are no currently approved antiviral treatments or vaccines for the

many known human CoV infections, including HCoV-NL63, HCoV-HKU1, SARS-CoV,

MERS-CoV and the current SARS-CoV-2.li

G) Are we on the verge of changing paradigms?

Are we on the verge of changing paradigms, in the way we treat our environment and

our fellow animal species, and about the prevention of disease and the way medicine is

practiced?

Even though, China reported that 3,300 of their people died from COVID-19, which was

enough to lock down the country, there are 5,000 people who die daily in China from

heart disease with lesser alarm.lii

Since 1975, we have entered the age of emerging plagues.

More than 30 new epidemic diseases carrying high morbidity and mortality have since

emerged, starting with Lyme’s disease in Lyme CT in 1975.


25

Just the AIDS epidemic has carried away 25 millions people worldwide.

More than 25% of the adult population in Africa is currently HIV positive.

People may be living longer, but there are sicker and more vulnerable to infectious

diseases.

The age-adjusted annual mortality rate for pneumonia/influenza has steadily been rising

over the last few decades in the US.

In 1979, it was 11.2 (per 100,000 persons per year), in 1998, it was 13.2, in 2011, it was

15.7, and pneumonia consistently accounts for the overwhelming majority of deaths

between the two.liii,liv

Epidemics may shape civilizations and redirect history, but man in its handling of animal

vectors are the ones who actually shape epidemics.

Michael Greger presents a startling perspective on the history of recent pandemics and

the key role animals played as the vectors of origin of virulent strains of microorganisms:

Pandemics: History & Prevention https://nutritionfacts.org/video/pandemics-history-prevention/?utm_source=NutritionFacts.org&utm_campaign=71b00b9d14-RSS_VIDEO_DAILY&utm_medium=email&utm_term=0_40f9e497d1-71b00b9d14-24239297&mc_cid=71b00b9d14&mc_eid=7308e31e34

He pointed out that the WHO had asked governments and health agencies to combat

factory-farming.

In a 2007 editorial of the American Journal of Public Health, it was stated, “It is time for

humans to remove their heads from the sand, and recognize the risk to themselves that

can arise from their maltreatment of other species.”lv

As an aside reminder, the origin of the NIP, the most deadly pandemic in modern times,

was in Haskell County, Kansas in early January 1918, an area with a small population

but with much farming of poultry and hogs, and only three hundred miles west of Fort

Riley (or Camp Funston) to which it provided its raised animals for consumption.lvi From

Fort Riley, US army troops spread the virus throughout the USA and then to the world.

https://nutritionfacts.org/video/pandemics-history-prevention/?utm_source=NutritionFacts.org&utm_campaign=71b00b9d14-RSS_VIDEO_DAILY&utm_medium=email&utm_term=0_40f9e497d1-71b00b9d14-24239297&mc_cid=71b00b9d14&mc_eid=7308e31e34





26

Complicating factors

Aged persons with co-morbidities such as cancer, immune-deficiencies, heart disease,

kidney disease, diabetes, hypertension, etc. or at higher risk of going into the critical

stage and of dying.

Many drugs can increase the risks of developing pneumonia by up to 2.7 times, such as

antipsychotic drugs, anticholinergic drugs, opioid analgesics, hypnotics and sedatives,

antidepressants, gabapentin and pregablin, proton pump inhibitors, immunosuppressing

and chemotherapeutic agents, ACE inhibitors and angiotensin blockers, ibuprofen and

acetaminophen (Tylenol), or a combination of all of the above.lvii

For instance, several studies have reported that SARS-CoV-2 exploits the same

membrane-bound angiotensin-converting enzyme 2 (ACE2) as SARS-CoV to gain

access to its target cells.lviii

Patients who take ACE-inhibitors could be in grave danger of renal damage: S

A recent study showed that ACE2 is highly expressed in the mouth and tongue,

facilitating viral entry in the host. In normal human lungs, ACE2 is expressed in lower

lungs on type I and II alveolar epithelial cells. After infection, SARS-CoV-2 entry starts

with the binding of the spike glycoprotein expressed on the viral envelope to ACE2 on

the alveolar surface.lix

SARS-CoV and SARS-CoV-2 both use the same keyhole to enter cells, the ACE2

receptor. There’s an abundance of this receptor in cells in the lower lung, which may

explain the high incidence of pneumonia and bronchitis in those with severe COVID-19

infection. A recent study showed that ACE2 is also highly expressed in the mouth and

tongue, granting the virus easy access to a new host. ACE2 receptor abundance goes

down in the elderly in all these tissues, but, counter-intuitively, this might place them at a

greater risk of severe illness.

This is because the ACE2 enzyme is an important regulator of the immune response,

especially inflammation. It protects mice against acute lung injury triggered by sepsis.

And a 2014 study found that the ACE2 enzyme offers protection against lethal avian


27

influenza. A fall in ACE2 activity in the elderly is partly to blame for humans’ poorer

ability to put the brakes on our inflammatory response as we age.lx

ACE inhibitors and angiotensin receptor blockers increase expression of ACE2 of

epithelial cells in the lung, and SARS-CoV-2 can thus better enter these cells via ACE2

receptors.lxi

But also the elderly population who received their annual or biannual flu vaccines may

be at higher risk of going into the severe or critical stages of COVID-19.

In a rare double blind study with vaccines conducted in Japan for an influenza vaccine it

was found that the outcome of children who received the trivalent inactivated influenza

vaccine (TIV) were compared with children who had received a placebo. Over the

following 9 months, TIV recipients had a 4.4 increase risk of virologically-confirmed non-

influenza infections. The authors concluded, “Being protected against influenza, TIV

recipients may lack temporary non-specific immunity that protected against other

respiratory viruses.”lxii

Children in Guinea-Bissau who received a H1N1-vaccine became more susceptible to

unrelated infections.lxiii

Influenza vaccinees have a significantly higher (p<0.01) susceptibility to coronaviruses

when compared to unvaccinated individuals lxiv

I don’t want to be a party pooper if newly-developed vaccine would be mandated, as the

Vaccine Adverse Event Reporting System (VAERS) database was examined for the rate

of spontaneous abortion and stillbirth in women who received one versus two flu

vaccines during a season. The ones who were vaccinated twice during an influenza

season had 11.4 more fetal loss compared to the women who were only vaccinated

once during a flu season. The author of this study concluded, “Thus, a synergistic fetal

toxicity likely resulted from the administration of both the pandemic (A-H1N1) and

seasonal influenza vaccines during the 2009/2010 season.”lxv


28

A case-control study was conducted over two influenza seasons (2010–2011 and 2011–

2012) to determine if receipt of vaccine containing pH1N1 antigen was associated with

spontaneous abortion. The overall adjusted odds ratio in the 1–28 days was 1.3 among

not vaccinated women. Among the vaccinated women the overall adjusted odds ratio of

fetal loss was 7.7. This effect was observed during these two successive influenza

seasons.lxvi

Many other possible adverse events can follow influenza vaccination. For instance,

Pandemrix, an influenza vaccine, has been known to be a precipitating factor for

narcolepsy. The incidence of narcolepsy was 25 times higher compared with the time

period prior to its introduction after the clinical and laboratory features of the recipient

versus non-recipient children had been reviewed.lxvii

Fifty-four percent of US children has one of 20 chronic illnesses,lxviii and 23.5 to 50

millions Americans have autoimmune diseases.lxix Autoimmune phenomena such as

arthralgia, myalgia, myocarditis, pericarditis, as well as diseases of unclear etiology such

as fibromyalgia and chronic fatigue syndrome, occur in higher frequencies after vaccine

administration. Additionally, well-defined autoimmune diseases, for instance immune-

mediated myopathies, SLE, RA, Sjögren’s syndrome, multiple sclerosis, acute

disseminated encephalomyelitis, transverse myelitis, inflammatory bowel diseases, have

all been linked to various vaccines exposure. The most common vaccines to be related

to ASIA syndrome are those directed to influenza virus, HPV, HBV, diphtheria-tetanus-

pertussis, MMR and BCG.lxx

A 2011 study found an increase in two inflammatory markers, C-reactive protein (CRP)

and tumor necrosis factor-alpha, in pregnant women who were given a seasonal flu

vaccine that didn’t contain thimerosal or aluminum.lxxi Increases in these inflammatory

markers indicate a significant level of inflammation, which, in the study, was identified

during the first two days following vaccination. There is good reason to be alarmed by

these findings, as a 2014 study of more than 1.2 million pregnant women found that

elevations in CRP were associated with a 43% greater risk of having a child with

autism.lxxii

It is not all bad news, as there is some good news


29

Patients who recover from COVID-19 may develop natural immunity for life.

For a little time, the earth will get a break from a great part of the industrial and transport

generated pollution.

Hopefully, some people may reflect on how to better live their lives, and take better

responsibility for their health and their environment, and the ones of our fellows animal

species.

Facts to know about epidemics in general and influenza epidemic in particular

Isolation clearly limits the transmission of the virus, but the virus is now out there and

isolation will be sustainable for limited periods of time in different populations?

Most people who will eventually come out of isolation and travelers will likely come

across the virus until herd immunity has been established.

SARS-CoV-2 could also mutated in a more or less virulent form and come visit out

communities again, like a seasonal influenza.

Courses of epidemics are not predictable

No two epidemics look alike.

No one can really predict an epidemic, as many factors can make an epidemic milder or

more severe, such as R0, mutation of the pathogen, weather, calamities (i.e., war) and

can therefore wax and wane.

It can manifest itself in recurrent waves, until most people have come in contact with the

virus and develop natural immunity.

There were essentially four waves during the NIP, spring/summer of 1918, fall of 1918,

winter/spring of 1919 and winter/spring of 1920. The second wave, in the fall of 1918,

was the most severe wave. The third wave, in the winter of 1919, was the second most

deadly wave.


30

In 2007, the U.S. Department of Homeland Security projected that the U.S. population

may be directed to remain in their homes under self-quarantine for up to 90 days per

wave of any upcoming pandemic.lxxiii

Laboratory

Many tests can have prognostic value (including D-dimer, LDH, CRP, platelets, etc) but some of the cheapest tests are some of the most reliable tests, such as the neutrophil/lymphocyte ratio, ESR, and serum albumin. Increasing N/L ratio or ESR or decreasing serum albumin level would indicate worsening of a patient’s condition.

“ESR was identified as the most powerful factor to predict disease

progression of COVID-19 patients.”lxxiv

For people with ARDS, oxygen saturation index is crucial to follow the state of the lungs.

Our experience so far

My experience from reading all the clinical reports I could find from the conventional and

homeopathic literature and contacts with colleagues from around the world the different

manifestations of COVID-19 are getting clearer all the time.

I have treated closed to 40 cases with flu-like illness in different continents in the last 8

weeks, including many with the typical COVID-19 syndrome and of which 8 were

COVID-19 positive.

Overall, 60% of the cases have responded to Bry. The rest, especially the ones who

have developed pneumonia have responded to other remedies: Ars., Puls., Lyc., Sulph.,

Lach., Samb., Nat-m., Op., etc)

Bryonia seems to be so far the best remedy for prevention, and to address the early

symptoms of CV-19: dry cough, fever, fatigue, muscle aches, chest oppression, SOB,

etc.

However in the last state when the O2 saturation index (OSI) drops below 94% we have

to be very alert, as it signals a difficult period for both the patient and the clinician, as

very rarely new symptoms make their appearance with the exception of the common


31

symptoms of desaturation, that is increasing SOB, labored breathing and slow but

progressive asphyxia.

Once the OSI drops below the mid 80s the clinicians must be extremely alert by keeping

a very good eye on their patient.

Often time they can be apyretic or ever hypothermic in this stage.

Patients are as rule calm in this period because of the state of stupor associated with a

slow and progressive asphyxia. They can be sleepy, lethargic or even in a stupor. I am

aware that Ammonium carbonicum has failed in four out of four patients in this state.

However, in a lesser advance state Ammonium carbonicum was found to be effective.

Pneumonia-like symptom in an aged patient with lymphoma patient who had similar

symptoms a few months back when she was diagnosed with pneumonia: weakness,

great SOB with difficulty talking, cough without expectoration. Responded slowly but

surely to her chronic remedy: Sulphur

O2 saturation was 92% at rest and within one hour of Sulphur CM it was at 96 and 3

hours later it was at 99%.

However, the SOB relapse about a week later, which was controlled with Bryonia and

became much better when her chronic remedy was given, that is Conium maculatum.

March 19, 10.30PM: Two elderly patients 87 and 82: sudden SOB, fever and weakness

worse from any exertion; all began earlier in the day. Bry. 200D, one dose at 10.30PM

and one dose on waking >>> 90% better the next morning, mild relapse in the afternoon,

Bry. 200D was repeated right away for two more doses. Both 100% better by evening.

Young surgeon with Covid-19 positive RT-PCR: Developed fever, SOB, severe HA,

intense body pain, … and symptoms that he had with prior febrile condition: recurrence

of low back pain with the need to stretch, water taste bad and nightmares. So far

responded partially to Nat-m., likely his chronic remedy.


32

Surgeon: SOB, weakness, anxiety: better right away (within one hour) with one dose of

her chronic remedy: Ars.

Student: Sore throat, weakness, fever, SOB …. Better right away with her chronic

remedy: Ars.

Colleague with much travelling and going from Gelsemium as a prophylaxis to Bryonia

as therapeutic: Mild coryza followed by mild sore throat extending to the ears and worse

on swallowing on Fri. March 20, followed by unusual feelings in the lungs, SOB on

exertion, a general sense of tiredness and weakness and then diffused pain throughout

both lungs worse with every breath. Bry. 200D. Within two hours the lung pain was 60%

better and the SOB was not apparent as no exertion had been done. The remedy was

repeated about twice a day and the colleague 98% better within 3 days.

Another colleague: Since the beginning of February, I have made 9 international flights,

twice through San Francisco airport, 3 times through Chicago airport, twice through

Paris, plus two train trips between Paris and Brussels, plus buses and subways in Paris.

I came back on March 17 and I've been home ever since. I didn't go shopping at all, I

ordered everything. But I'll tell you a little bit about it:

I've brought masks and gloves everywhere I've been in the airports. I disinfected the

shelves, screens and armrests all over the planes and trains. But it's almost impossible

that I didn't come into contact with the coronavirus, especially since my job is to teach

manual therapy to health care professionals and in each group there were front-line

doctors and active practicing physiotherapists. I travel with a kit of about 75 remedies.

So in Paris, I spoke with a woman doctor who also does homeopathy and the brother of

a friend who is also a doctor and a homeopath. We thought that Gelsemium could be a

good prophylactic remedy. I was already taking it once a week. I gave it to all my interns.

But we had also seen Bryonia.

Let's just say that the first week in Paris, March 3-10, apart from one night when I felt

tired, achy and hotheaded, it went well. That evening I took up Gelsemium again and the

next day I was fine. On the 10th I went to Brussels, and there again I was fine except for


33

a couple of times when I felt more tired, achy and intermittent heat, Gelsemium helped,

but you can see it was coming back. Once the first week, 2 or 3 times the second week.

I changed my plane ticket to come back on March 17 (I was supposed to stay until April

7). The morning of my departure, I woke up at 5:30 with a strong pain in my left chest,

which radiated into my shoulder and deltoid, definitely worse with movement and better

lying on the painful side. Impossible to take a deep breath; even at half lung capacity.

Stabbing pain on inspiration. But not too much fatigue. I'll take Bryonia. I finish my

suitcase, go downstairs to take the Uber, which never came. I had to walk 2 km on

cobblestone streets to get to Brussels station where my train was leaving from. I walked

quickly, in the cold, in the rain at 6 o'clock in the morning, a taxi passed by, it didn't want

to pick me up. Belgium had just closed everything. So I walked to the train and I didn't

feel any pain doing it. My train was cancelled, the stress increased. Luckily, I was able to

find another train that would take me to CDG airport in time (there was only one left). But

later, on the train to CDG, the pain of inspiration came back. Bryonia again. And since

(March 17th), until this morning, nothing.

But this morning I had to do an online banking transaction and at the same time I took

the opportunity to see what was happening with my TFSA. And then I had a shock: my

investment fund lost 20%! I wasn't doing well at all. Then I talked to my brother, who is a

high-ranking officer in the Canadian army, who told me that he's stockpiling because he

thinks there will probably be shortages here and there, of certain products, etc.

(Especially since we import a lot from the United States and they're not doing well at all).

So now my stress is increasing. And the pain comes back in the rib cage at the level of

the 4th rib, toward the left scapula, and extending through the chest with each breath. I

hurry to order things online, and the stress increases. I've had groceries delivered 5

times since my arrival on March 17th (8 days ago). Still!! My freezers (3) are overflowing

and I have no more room on the shelves. So I look in the directory at "Fear poverty" and

"Fear of starving" and Bryonia is there, underlined in both headings !!! So I took Bryonia

again.

I didn't have a fever, I don't have any aches and pains. The chest pain is gone. My

stress is a little decreased, but I can't say it's over. I'm going to take your advice and get

more sleep.


34

From Italy: The onset can be acute and sudden (for example with high fever, or with

significant dyspnea or exhaustion preceding the fever, or also with chest pain simulating

heart attack), as well as gradual with moderate fever and mild respiratory symptoms for

2-8 days

From Southern France: Beryllium works quickly!

Manuscript – Homeopathic Clinical Features of 14 patients in COVID-19 outbreaks in China-20200317

Homeopathic symptoms of 14 cases from 5 clusters were reported. 18 common

symptoms with a minimal frequency of 3 were screened out from 60 selected rubrics

from all the cases. The common symptoms constituted two sets of homeopathic

symptom pictures, indicating Bryonia alba and Gelsemium. They were indicated in 3 and

8 cases out of the 14 cases respectively.

1) I received an article about 14 cases that had been treated homeopathically in China (I

have to check if I am allowed to publish it here): 8 times Gels. was effective, 3 times Bry.

– details will follow.

From Germany: According to the feedback from around 30 homeopaths in the past 14-

21 days, the predominant remedy for the current epidemic in our country (which includes

2019 nCoV and influenza) is Gels, followed by Bryonia and Eup-per.

Fred Schmitt MD from France: “I just received a message from Italians, they treat

hundreds of persons with Bryonia and Arsenicum quite quickly. And the main remedy at

this stage in France, seems Bryonia.” Fred

On April 8, Fred Schmitt wrote: Two colleagues (Dr Peyronnet, Dr Fabrikant) and I total

almost 20 cases with a very quick response to Hyosciamus. Of course we need more

time and more cases, but as the effect is quite astonishing it seems important to us to

communicate with you this preliminary reports.

https://www.aekh.at/wp-content/uploads/2020/03/Manuscript-Homeopathic-Clinical-Features-of-14-patients-in-COVID-19-outbreaks-in-China-20200317.pdf

https://www.aekh.at/wp-content/uploads/2020/03/Manuscript-Homeopathic-Clinical-Features-of-14-patients-in-COVID-19-outbreaks-in-China-20200317.pdf


35

On April 12: “Here is the follow up of the monastery. As I said already four members

was promptly cured with Bryonia. A fifth member made an odd reaction to Bryonia

(initially better, but when climbing severe aggravation), she went on hospital (nothing

bad) and was incredibly well with Hyosciamus 1mk (to that day, she's well). A sixth

member get sick (mainly diarrhea, quite strong) she took Bryonia with no effect, and she

doesn't want any more treatment.

“I advocate to the others members (nine persons) Bryonia 12, liquid, one cap morning

and evening, and given the promiscuity of the monastery, it seems that the prophylaxis

is efficient because nobody became ill (and the abbot of the monastery, 86 years old, is

quite fragile - stomach cancer, chemotherapy, and now leukaemia) as it is fifteen days

since the onset of the first case.

“A member of the Belgium forum, gave to my suggestion, to one hundred patients, even

simillimum, Bryonia or Crot-h, with good issue with all, I asked her statistics more

precisely.

“Dr Jean Lansmanne gave Falco per to 15 patients with good results.”

So far Prof. Gerhard Resch has treated several light cases of COVID-19 and one severe

case. In all cases he has seen good effects after Lobelia purpurescens.

He also gave the remedy as prophylaxis to some patients that had been in contact with

COVID-19 patients, none of them got ill.

Resch assumes that Lob-p. is suitable for light as well as for severe cases of COVID-19.

In Clarke’s Materia medica the remedy can be studied best (see scan below).

In answer to the question which symptoms he found particularly indicative to Lob.-p he

said:

Massive chill, but without shivering; Clarke: „Deadly chill without shivering, but

overpowering the system“

Great weakness – here he also cited Clarke: „Acts very like Bapt. in low typhoid

conditions!“


36

Great thirst and total loss of appetite (Clarke: „Great thirst, loss of appetite“)

Impending lung failure

Stupor

Mag. Robert Muntz (Remedia) is offering now remedies connected with coronavirus

epidemics. Among them is Lobelia purpurescens. When I asked him from where is this

idea, he told that probably Dr. Resch came up with it.

I looked at it in rubrics in Complete Dynamics and in Clark’s Dictionary of Materia

Medica.

Lobelia purpurascens looks very well for the case of the colleague in Italy and 3 others

she treated: vertigo with nausea, chilliness, soreness, weariness, sleepiness,

drowsiness, the tightness of chest, pneumonia, dryness and burning sensation in

respiratory tract and throat, external burning, headache during influenza in forehead and

occiput, intense thirst without an appetite, changed taste in the mouth (bitter in her case,

in the picture of Lob-p is mercury taste), rumbling noise in the abdomen, pain in eyes

with heavy eyelids, aggravation by movement.

Missing symptoms are anosmia [not really, see lower] and diarrhea, but it’s a very small

remedy, only 300 rubrics chapters Rectum and Stool completely empty still. The

colleague had white-coated tongue, in the rubrics is the white tongue (probably in sense

of pale tongue).

I like very much your idea of Franz that there is only one remedy of the genus and that

this remedy fitting the deep pathology of the epidemic is valid also for the initial stages of

the disease. It is supported also by Piere Schmidt notions as well as S. Hahnemann.

I’ve started to test Lobelia purpurescens. One lady took it yesterday afternoon. She had

very bad dry cough with burning after the cough, soreness, pains all over the body,

bones and muscles. This soreness was alternating with periods of relief when she could

stand up. Yesterday afternoon she started to use every hour a teaspoon of dilution of

Lob-p. 200 C. Till evening she lost all soreness, still some cough. She feels 40% better

now.


37

Pascale Jenaer from Belgium had also a case of Lob-pur:

Hello Vladimir,

patient very well this morning with lob purp!!

yesterday she has taken it 4 times, no other remedy only a feeling of hypotension has to

sit if standing, and still arthritis of hip that was there before, but better no more horrible

headache, no more little dry cough, and energy, when not moving, is normal I come

back when having time to write it in details biz p

Other lady used Antimonium arsenicosum 30 C. In one day her dry cough and pain in

chest disappeared. These two remedies I’m now testing.

Probably all influenzas are now in the same picture as Hahnemann says—predominant

disease shapes all other similar diseases.

I think we should find one best remedy as a real deep genus. Then we could easily

convey it to public. The big variety of remedies homeopaths all over the world are

offering means probably it’s a small remedy, not well known, otherwise, it would be

clear. As Jan Scholten says, unknown picture requires an unknown remedy.

Could you test also these remedies? It’s not necessary to have corona positive patients.

Probably all influenzas now will be responding to the best remedy.

Results from the American Institute of Homeopathy database (as of Thursday

March 27)

The data collection tool was launched on 3.22.20. Since that time, 102 homeopaths from

around the world have been granted access. The majority of contributors so far are from

the U.S. To date, 34 cases have been submitted of varying quality.

When one isolates confirmed and suspected exposure COVID-19 cases, there are 10

cases with a positive result and several where the result is still unknown. I believe all but

two are from the U.S. In 50% of those cases, Bryonia was most helpful/curative. (I know

of at least six more Bryonia cases in this category, taken by a reliable source, that will be

added soon as well.)


38

When one looks at all cases (including suspected, confirmed, and possible COVID-19)

submitted with a positive result (excluding a few cases where many remedies were given

in alteration), we now have 29 cases. Bryonia and Arsenicum alb make up ~50% of the

successful prescriptions.

Caveat: “Nothing in this report should be taken as a suggestion that Bryonia is a genus

epidemicus remedy or the remedy for every case seen in practice. We will need much

more data before any conclusions can be reached. Please keep taking good cases and

report your results without bias or speculation.”

In addendum 1, you will find an interesting report from a French contributor and one from

the Italians.

Additionally, there are new reports from Austria and France that the little known remedy

Lobelia purpurescens is showing promise. Addendum 2 provides a description of this

hard to find remedy – taken from Clarke’s dictionary.

That is this week’s report. Thanks to all from around the world who are contributing to

this effort.

Addendum 1: We received these useful reports from France and Italy and wanted to

share it.

From France (physician contributing to the project):

“I have news from a colleague that works in a nursing home with 120 people. He can do

PCR test. Since one week, all the residents catch the C19 (proved). My colleague gave

to all of them before Camphora 1M, so with no success. However, the previous week

many cases developed diarrhea on one of the three floor of the center and all recovered

under Camphora 1M.

All residents to which he gave Bryonia immediately at the onset of the disease didn't get

a severe form or die. All to which he gave Antimonium tart or Ammonium carb get very

sick or died. Some now are in a critical situation, and he gave to all of them, Bryonia, we

are waiting for the results.

It's a very interesting case because, we are sure of the diagnosis for


39

120 people, we can say that, for them, Camphora didn't have a protective effect, and

that Bryonia did work for most of them. He will make his own statistics.

To that day this nursing home is quite an interesting situation because the physician is

an homeopath and he have to his disposal PCR tests.

Additional symptoms from the French colleagues:

They get worse at an incredible speed in a few hours

I'm very struck by their major asthenia and their tranquility despite asphyxia, no anguish

or agitation.

Often nothing to auscultation, great silence in 2/3 of the lungs fields, they breathe with

the high, supraclavicular or intercostal pulling and desaturation, many under O2.

It is often said that fatigue is a common sign, but in these cases it is

not a banal sign, they are in a state of lethargy, incredible

drowsiness, cannot open their eyes. And it happens all of a sudden.

He agrees with me that the most astonishing symptom that many have

already observed before, is this tranquility, an abnormal

tranquility [Crot-h.]

This morning I try to research in all materia medica and repertories

this symptom to finally conclude that it could really be one of Bryonia

*Mind; quiet; disposition; fever heat, during*:

BRY., Ferr-p., GELS

Here is my repertorisation, hydrocyanic acid can be also a good challenger. Fred

From Italy:

The symptomatic categories that we (the Italians) have highlighted in the reports are the

following, in order of frequency:


40

1 GREAT WEAKNESS.

FEBRUARY 2.

3 COUGH (INITIAL) DRY.

4 RESPIRATORY DIFFICULTY.

5 OPPRESSION_CONSTRATION_THE PAIN

6 PAIN HEAD.

7 FEAR_LARGE CONCERNS_ ANXIETY

8 BONE MUSCULAR PAIN

9 INITIAL INAPPETENCE

10 INITIAL SORE THROAT

11 FLAMED NOSE

12 DIFFICULTY IN THE MENTAL EFFORT

13 CONGESTION_OCULAR INFLAMMATION

14 LACK OF OLFATTO_GUSTO

15 SWEAT

16 RETURN OF REMOVED

17 EVOLVENT PULMONARY INFLAMMATION IN BILATERAL INTERSTITIAL

POLMONITE (HEPATIZATION)

The possibility of being able to define, in an epidemic, a single overall symptomatic

picture of the disease is not obvious.

In this case, the operation was possible.

Symptoms 1 to 5, fever + weakness + pulmonary involvement (dry cough and / or

difficulty breathing and / or chest pain) are usually always present and associated.

Symptoms 1 to 12 would seem to define the overall image of the COVID-19 disease in

this Italian epidemic in the period of time considered, since each of these symptoms may

appear prodromal, in the onset and in the state phase. Some persist in convalescence.

Normally, in a single course, all or at least 80% of them are present.

Less frequent symptoms 13-16 would belong to individual patient groups.

Symptom 17 corresponds to the pulmonary complication of the disease.

The degree and relevance of each symptom depends on the individual patient.


41

They seem favorable prognostic signs: the secretory productivity to the bronchi and

nose, the well channeled alvo, the recovery of strength, the disappearance of the

headache, the regularity of breathing and the disappearance of thoracic symptoms, the

return of appetite, the ability to activity mental and employment. These are fairly general

symptoms.

During the recovery phase, there is often a slight weakness. As long as it does not

disappear, observation must continue because in some cases a recovery of symptoms

has been observed.

Continuing the observation in a much higher number of cases, some typical forms of this

disease could perhaps be characterized.

Even in the same country, the disease can take on particular symptomatic and course

characteristics in different places.

In any case, a general symptomatic picture of a disease is only a reference model and

never completely coincides with the specific picture observable in a single patient.

SECOND STEP (STUDY OF THE CHARACTERISTIC SYMPTOMS OF DISEASE)

Each of the symptomatic categories highlighted in this disease has presented some

peculiar characteristics, shown here in (indicative) order of frequency.

1 GREAT WEAKNESS.

The weakness appears very marked and characteristically> lying down, often urgently

("must lie down", "is often lying down"), not when sitting or in other positions. Also

referred to as tiredness or prostration. <with effort and in the first movements. It can> or

not with moderate movement.

It is frequently accompanied by drowsiness during the day. Sometimes to sought

immobility [Bry]. Frequently residual in convalescence.

In various irregular ways, when it is typically biphasic, an apparent remission is followed

by an apparent remission which is followed after 2-6 days by a feverish recovery with

respiratory involvement.


42

At its onset, the fever can be both moderate and prolonged (2-7 days), and high and

lasting from 1 to 4 days, except in complications.

In the second phase it can be elevated or weak and generally lasts 3-4 days,

accompanied by respiratory symptoms.

Sometimes there is a "feeling of having a fever", like an internal heat, without its

objectification.

It can be accompanied by internal cold with need to cover [ArsA], and by chills.

3 COUGH (INITIAL) DRY.

Typically in single strokes or in short sequences, it does not continue. The single cough,

often in a state of pain, is often painful. [Bry] It tends to become little or moderately

productive. The expectoration of transparent mucus is not particularly difficult, and is

common only in the second phase.

4 RESPIRATORY DIFFICULTY.

Referred to as breathlessness, from light to air hunger. <to deep breathing.

5 OPPRESSION_CONSTRATION_THE PAIN

Common is a feeling in the chest, which can vary in the individual person during the

course, "like a stone on top", "like a hand that squeezes from behind", "like a corset",

etc. Rarely but suggestively it can be intense pain, but it can manifest the whole range of

intensity until it is hardly felt. <speaking, <after effort.

6 PAIN HEAD.

The whole head is usually affected. The symptom is annoying. It can be accompanied by

a sense of confusion or dullness. More common in the early stages, but not exclusive of

them. [Gels]

7 FEAR_LARGE CONCERNS_ ANXIETY


43

The symptom is peculiar, as observed even in people who have no propensity for it. It is

generally associated with thoracic and respiratory sensations.

Other times, even if it can be considered induced by the circumstances, it still constitutes

a significant symptom data. [Gels, ArsA, Ph, etc.]

8 BONE MUSCULAR PAIN

Not very characteristic, typical of flu syndromes. [EupP] Most often they affect the legs.

9 INITIAL INAPPETENCE

Not very characteristic, typical of the flu highs. Sometimes associated with nausea,

rarely with vomiting. The recovery of appetite that is observed in the recovery phase

seems a positive prognostic sign.

10 INITIAL SORE THROAT.

Most of the time in the early stages. Common, often associated with dry cough. The

throat is dry. [Bry]

11 FLAMED NOSE

Any rhinitis is non-productive or unproductive. It can occur at the beginning. Sometimes

it occurs at the end of the course in the resolution phase, and then it can be a little

productive.

12 DIFFICULTY IN THE MENTAL EFFORT

Aspecific. Especially but not only if there is headache. The resumption of activities that

require mental effort is a good prognostic indicator. [Ph, PhAc]

13 CONGESTION_OCULAR INFLAMMATION

Often associated with cephalic congestion.

14 LACK OF OLFATTO_GUSTO

Uncommon but characteristic in a small number of patients, it tends to persist in

convalescence.

15 SWEAT


44

Not peculiar. Generally it is little or absent, in other trivial, in a couple of cases profuse.

16 RETURN OF REMOVED

When the experience of illness deeply touched the individual, in some cases feelings of

life emerged in the form of images, dreams, or even ancient symptoms.

17 PULMONARY INFLAMMATION THAT MAY EVOLVE IN BILATERAL INTERSTITIAL

POLMONITE (HEPATIZATION)

Lung congestion or inflammation gives subjective symptoms (already seen) and can

threaten to evolve into pulmonary hepatization [Ph, then Lyc]. The cases observed do

not concern the stages of pneumonia with significant respiratory failure and respiratory

failure.

Italian Working Group

The common symptomatology, but peculiar to COVID-19

Among patients with pneumonia caused by SARS-CoV-2 (novel coronavirus pneumonia

or Wuhan pneumonia), fever was the most common symptom, followed by cough.

Bilateral lung involvement with ground-glass opacity was the most common finding from

computed tomography images of the chest.lxxv (11 February 2020 )

62 patients admitted to hospital with laboratory confirmed SARS-Cov-2 infection. Data

were collected from 10 January 2020 to 26 January 2020.

Pneumonia 61 (98)

Fever 48 (77)

Cough 50 (81)

Expectoration 35 (56)

Myalgia or fatigue 32 (52)

Headache 21 (34) lxxvi

Fever 50 (100)

Chill or rigors 37 (74)

Cough 31 (62)

Myalgia 27 (54)

Malaise 25 (50)


45

Running nose 12 (24)

Sore throat 10 (20)

Shortness of breath 10 (20)

Anorexia 10 (20)

Headache 10 (20)

Diarrhea 5 (10)

Dizziness 6 (12) lxxvii

Rash 20%lxxviii

Of the 88 COVID-19 patients, 20.5% developed skin manifestations. Eight of the 18

(44%) had skin eruptions at symptom onset, and the rest after hospitalization. Fourteen

(78%) had red rashes, three had widespread urticaria, and one had chickenpox-like

vesicles. The most commonly affected area was the trunk. Itching was mild or absent,

and lesions usually healed up in a few days. Most importantly, skin manifestations did

not correlate with disease severity.

These skin manifestations “are similar to cutaneous involvement occurring during

common viral infections.”lxxix

Characteristic symptoms of COVID-19

Roughly 1 in 10 presented not with flu-like symptoms but with diarrhea and nausea.lxxx

Dry cough with great weakness, oppression of breathing and variable temperature.

Characteristic lung lesions: diffused, multifocal fibrositis affecting the periphery of the

lungs first and appearing on radio-imaging as ground glass opacities.

Loss of sense of smell and taste:

“Almost everybody who is hospitalized has this same story,” said Dr. Marco Metra, chief

of the cardiology department at the main hospital in Brescia, where 700 of 1,200

inpatients have the coronavirus. “You ask about the patient’s wife or husband. And the

patient says, ‘My wife has just lost her smell and taste but otherwise she is well.’ So she

is likely infected, and she is spreading it with a very mild form.”lxxxi


46

“Hendrik Streeck, a German virologist from the University of Bonn who went from house

to house in the country’s Heinsberg district to interview coronavirus patients, has said in

interviews that at least two-thirds of the more than 100 he talked to with mild disease

reported experiencing loss of smell and taste lasting several days.” lxxxii

“Another physician who studied a cluster of coronavirus patients in Germany said in an

email that roughly half of the patients had experienced a smell or taste disorder, and that

the sensory loss usually presented after the first symptoms of respiratory illness, but

could be used to distinguish people who should be tested.”lxxxiii

In South Korea, where testing has been widespread, 30% of 2,000 patients who tested

positive experienced loss of sense of smell as their major presenting symptom (these

were mild cases).

On March 22, the American Academy of Otolaryngology posted information on its

website saying that mounting anecdotal evidence indicates that lost or reduced sense of

smell and loss of taste are significant symptoms associated with Covid-19, and that they

have been seen in patients who ultimately tested positive with no other symptoms.lxxxiv

Homeoprophylaxis

It is too early to be certain about a genius epidemicus.

Several candidates:

1- Bryonia

2- Beryllium

3- Lobelia purpurescens

Others: Ars., Gels.

And for later stage: Carbn-o., Carb-v., Ant-t., Op., Hyos.

My choice is for Bryonia for all stages of Covid, with the exception perhaps of the later

stage, as well as prevention for the following reasons:


47

a) More cases with the flu-like symptoms and Covid positive have responded clearly to

Bryonia in my practice than any other remedy in the last 2 months over three continents.

b) This very commonly indicated flu remedy tends to readily move quickly into

pneumonia.

c) It is one of the remedies that has the characteristic symptom of loss of smell and taste

during influenza.

d) In a retiring home in France with 120 pensioners, in which 10 persons have already

died of ARDS (not all had been tested positive for SARS-Cov-2 from lack of testing

availability), Bryonia was given to 15 persons who had begun to develop febrile

symptoms and have since remained in relatively stable state the rest of the week.

e) In a monastery in France, Bryonia was used to assuage the early symptoms of the

disease and for prevention with great success:

Dr. Schmitt reports: “I have been in charge of a monastic congregation of about fifteen

people since the beginning of the Covid. They've been closing their doors for two weeks.

“Unfortunately a 21-year-old resident returned to the monastery just

before the lockdown but he was already infected. A few days later he developed: fever,

fatigue, aches, respiratory oppression. I'm aware of it on day 3.

“I informed the emergency home surveillance care. He began taking Bryonia 12CH (the

only dynamization available at this point) liquid dose. 24 hours later he is well, without

any symptom. I advise him to continue taking Bryonia once a day, until the 7th day.

“Two days later, a 75-year-old resident developed fever, fatigue, diarrhea.

Bryonia 12CH, liquid dose. He is clearly better in 48 hours. He continued once a day for

7 days.

“Then a 61-year-old resident developed fever, fatigue, flu like symptom. Bryonia 12CH,

liquid dose, and he is clearly better in 24 hours.


48

“A 62-year-old resident: fever, general malaise, fatigue, diarrhea, nausea.

Byronia 12CH liquid dose, better but nausea persists, Bryonia 30CH liquid

dose, he is clearly better in 24H.

“I asked all the other asymptomatic residents to take Bryonia 12CH, liquid dose, a cup

morning and evening for 5 days.

“It's an interesting experience in more ways than one:

“You find that I haven't individualized. Based on the notion of the genius epidemicus, I

gave without asking any questions other than the usual medical

evaluation, the advice to call the emergency services if necessary, etc...

the same remedy effectively.

“We'll be able to see if Bryonia works on all the residents.

“I opted to give after the disappearance of all symptoms, one daily intake

until the 7th day (counting from the onset of symptoms) to avoid relapses.

We'll see if this strategy pays off.

“I'll keep you informed of what's next.” Dr. Fred Schmitt

However there might be other strategies, such:

A strategy I recommended for the staffs of a hospital:

I recommended Bry. 200C as a preventative to everyone who is normally quite thirsty,

Gelsemium 200C to people who tends to not be too thirsty, and Ars. 200C to nervous

and chilly persons.

Time will tell.

People continually exposed in their work can repeat the remedy every 5 days and q4h

as soon as they would develop symptoms, and then contact your homeopathic

practitioners, otherwise one a week during the peek of the epidemic should be sufficient.


49

It should work, not perfect, but quite well to limit the number of new cases or the severity

of the new cases.

Three severe cases of Covid

Here are three severe Covid positive cases that should interest any clinician who has

any experience with treating such cases. The first two cases are persons of the more

susceptible age group with co-morbidities who presented diffused pneumonia and were

hospitalized. There are good examples of Bryonia cases. The course of the disease was

clearly reversed by taking the homeopathic remedy.

In the third case, the patient was quite sick for 10 days before the remedy was taken and

major signs of recovery were manifest by the 18th hour after the first dose was given.

1- (Case 1) The first case is a hospitalized patient in which signs of recovery are dose-

related to repetition of the homeopathic remedy. A university professor of medicine

reached out to me after two of her closed emergency room colleagues and also faculty

members had died of Covid. She called me to ask if I could help her with some cases of

severe Covid.

Woman 70 y.o. consultation by telephone only.

Covid 19 + under quarantine in a hospital since March 22.

Symptoms started in Saudia Arabia on March 15 after getting cold with nasal congestion

started coughing severe and dry on March 16 she had dry mouth, sore throat, thirst, dry

throat which did not get better with drinking water (normal tap water room temp)

On March 22 quarantined test +, high BP under control with medication.

She had 2 focal pneumonia bilat in lungs.

Cough dry, sore throat, fatigue, fever 37.2 C. Movement involunraty wants to lie down,

SOB +3

No fear anxiety but very low energy (1/10), fatigue +3, aphteous lesion (white) in

palatinum pain on right shoulder and arm somehow eye irrigation (bilat)

She tends to accumulate money does not like hot does not wear collar craves for fish,

green veggy.

Likes bonny red meat but does not like red meat poultry.


50

Likes acidic food and hot spicy food.

Unresponsive to allopathic med-plaquenil and other antivirals.

21 March started Bry 30C 3 dose every 5 min

22 March 4 doses every 4h

23 March 2 doses morning just before sleeping

24 March 1 dose at night

nausea and vomiting only 1 time

25 March 1 dose at night

nausea, bad taste of water, aversion all food, fatigue

26 March 200C Bry morning and night

27 March 1 dose at noon

28 March 1 dose at 3pm

29 March 1 dose

30 March no dose

Physical symptoms mostly got better. Coughing stopped, no fever at all, feels better.

CT: show no progression of pneumonia. Doctors impressed as some other corona

patients at the same state died and some others went into the ICU.

Today it is 30 March, morning pain in throat when swallowing (diminished afternoon but

still exists).

Aversion to food – when food comes in her room she disgusts but forces herself to eat.

Fatigue better but still persist although she started walking in room. Feels better now

when she walks.

Energy (6/10).

No SOB.

She craves lemons (and sour things)

No pain on shoulder, pain on right arm diminished

She said she is pale and tongue whitish (most probably she has been like this since

beginning and now she realises as she satrted walking and looking at mirror but still

lying down but does not sleep. Feels better now when she walk a bit but as she is old

she goes back after a while. She feels thirsty but reluctant to drink much (drinks 1 or 2

glasses a day -- because water tastes not tasty (bad taste)

Some homeopaths adviced me to stop Bry and continue with Lyc 200 but I am not sure

.


51

I see and feel Bry 200C still works...

Water not tasty can also be Nat M as indicated in your last webinar

taste loss can be Bry, Bell, swallowing pain bry, sour drinks but not lemon also Bry.

What is your advice?

A: Stay on Bryonia until for sure the patient stops responding. Give her Bryonia 200C

every 2-3 hours for about 4-5 doses and follow up to see if she feels better.

Try to monitor the oxygen saturation index at rest and after a mild exertion. If Bryonia is

the correct remedy the saturation index will increase during this interval of time.

You can also monitor the heart rate, the temperature and the respiratory rate.

Look at her tongue before and after this repetition of the remedy, and see if it changes.

See if now or when she used to be in her chronic state before the infection and since the

infection, if she is chilly, normal temperature or tends to be too warm in bed. If too warm,

ask her how often she sticks her feet out of the blankets.

Give me some news as soon as possible.

Yes, you can send me more cases.

March 31:

Following up with the case; I am very happy to see how she responded to Bryonia today.

I gave her Bryonia 200C every 3h (5 times) today and she sounds more energetic on the

phone now.

02 saturation was 92% in the morning and after repeated doses at midnight 95% and

96% but measured at rest only (tomorrow will measure after mild exertion also)


52

The whitish color on tongue disappeared at the end of the day and turned to pinkish red

(I assume normal) after repeated Bry.

The old lady is in another hospital and doctors are unfortunately not very cooperative so

I am taking the case with the consent of the patient and the family. The old lady is using

the oxymeter herself but could not tell me the HR or resp rate (but I counted approx.

respiration while talking and it is around 22-24/min and this is at the end of the day)

No fever today. Feeling normal warmth in bed today after repeated doses. She said she

sticks her feet out of blanket yesterday night and she felt too warm in bed but today

normal warmth and her feet is not out of blanket.

Will keep you posted

Do I continue Bry 200C with same frequency and for how long?

A: Continue Bry. 200C every three at first and then four hours and five hours until much,

much better, as relapses are not unusual in pneumonia cases if the remedy is stopped

too early.

Keep me in touch and I will continue to support you.

April 5:

S: Still on Bry 200C four times a day and doing very well.

O2 sat is 97-98 nowadays.

She had a burning sensation of her soles and hot feet for 2 nights (days normal)

yesterday.

So I continue the same, I suppose.

A: Good. Stay at four times a day.


53

Make sure you have the higher potencies of Bryonia at hand.

April 6:

Good news!

Her Covid-19 test turned negative today. So she is transferred to an intermediate care

hospital to be under surveillance a couple of days more before she is sent back home.

She is energetic today. Conveying her appreciation and gratitude to you.

This is all for today, my thanks to you.

A: Good news.

Make sure she continues taking Bryonia 200C three times a day for another 7-10 days. If

at any time she feels any symptoms of a relapse even the mildest one, tell her to take

the Bry. 200C every hour for three doses and then to call you.

Make sure she continues to monitor her oxygen saturation index as desaturation can

happen without any sign.

Also make sure she has the higher potencies of Bry. on hand.

April 8,

I will follow up the case as you indicated and let you know. She is discharged from the

hospital today and is very happy.

Is 1M OK for higher potencies of Bry or you prefer higher ones?

A: Bryonia 1M will be just fine.

2- (Case 4).

April 7: 69 Female YH, COPD and diabetes patient


54

Covid + CT bilateral diffuse pneumonia. Quarantined in hospital. Treated with anti viral

and antibiotics she had diarrhea now 2 times/day relief after stool. Heartburn (maybe

due to medication?)

Fever 38.3C. Undulating fever (ups and downs every 5-6h) with chills, shivering then

fever sets in. Headache during fever (similar to sinusitis pain maxillary-frontal) used

paracetamol.

Skin warm.

Perspiration mainly on her head, neck and in the axillae. During fever desires to drink

much water than diminishes. Drinks warm water (she has been always afraid to get sick

she has been drinking warm water since 10y)

Sore throat stinging burning pain and tickling (she also has gastro-esophageal reflux!).

She used to have sore throat with colds. Throat and mouth dry drinking in sips.

Tongue white.

Eyes reddish at the onset 10 days ago.

Lumbar pain (she has had herniated L4-L5 disc before, but 10 days ago at the onset of

Covid 19 she had severe lumbar pain extending down her right leg with numbness in

feet/toes.

Symptoms agg. at night late from 2 am she is mostly feverish at this time

Coughing started dry turned to whitish easy to expectorate. Since yesterday and today

mixed with blood but still easy to expectorate. No chest oppression but coughing is

painful. Coughing as if it comes from deep (maybe alveolar infiltration??).

O2 sat 88

Resp 28/min

Pulse 92 min

No appetite since 5 days.

BP dropped down to 110/ 55

Taste sensation disturbed

Physical energy 6/10

No fears, no restlessness, no anxiety, no panic, no tension.

Generally wants to lie down last 2 days want to sit only shortly.

Prostration fatigue since 10 days, does not want to move because of weakness (no pain

described with movement)

A: Bryonia 200C two doses one hour apart and every two hours until much better.


55

April 10: It is 9 pm here, but I will send her a remedy tonight after I get your advices, as

hours count for this patient.

Yesterday she forgot to take her anti hypertensive pills, so today even with pills BP rose

to 170/90

Heartburn after eating—the epigastric pain projects to her back, sleeping amel this pain

She has some allergic problems with cucumber, tomato (new info). She thinks that this is

due to fresh cucumber, tomato.

Agg. with eggs and banana.

Heaviness feeling head

Pallor gone in face now pinkish as before

SOB 5/10

Due to hypertension she is in a sort of panic and anxious (tension)

Sleeping good but still wants to sleep+

Weakness +

02 sat 88-89

Resp 30/min

Pulse 88/min

Coughing 3-4/10 little expectoration phlegm pinkish yellow

Thirstiness +++ and drinks a lot (no sips). No appetite

Progression at CT pneumonia is worsening. Medical team is planning a plasmapheresis

soon.

Neutrophils are increasing. This means neutrophil/lymphocyte ratio is increasing

Leukocyte count 11,120

LDH is increasing

PLT count decrease to 208,000 but rose to N today

D-dimer was very high yesterday today normalized

Ferritin has been elevated at 124 for the last two days

CRP was very high 2 days ago and since yesterday it dropped down to 8.34

Tons of allopathic drugs given to her: pantaprazol, steroids, favipravir, tocilizumab,

perindopril-amlodipin, insulin-metformin, avil, Gaviscon

She is currently taking Bry 200C every 3 h.


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A: April 10 at 10.30PM: If she has access to the higher potencies, give her Bryonia 1M

every 30 minutes for 4 doses and check her status. If she doesn’t access to the higher

potencies of Bryonia have her take Bryonia 200 every 20 minutes for 6 doses.

April 11 at 1.20 AM (less than three hours later): I gave 200C (we had only 30C and

200C) every 20 min. for a total of 6 doses

Better!!

She is calm

No coughing no expectoration in the last 2 h.

No SOB.

No thirst: dinks much less.

Energy 7

She had generalized itching in skin that I forgot to tell you but also better so no itching.

Pulse 82 O2 sat 93 BP 135/62

Continue 200C BRY? less frequent

A: April 11 at 2.34PM: You need to go up the potency if she has access to let's say the

1M. Always have her take two doses before bed and then again two doses in the

morning every day even after 7-10 days of full recovery. If at any time, the symptoms are

returning tell her to then take three doses of Bryonia 1M one hour apart. Beware to

always take two doses in the evening before bed (1 or two hours apart) and the same in

the morning every day until 7-10 days after she has fully recovered.

April 11, 11.26PM: Following your advice with Bry 1 M after 4 doses (2 morning 2 before

sleep)

SOB better than yesterday dry rare cough, slight lumbar pain, She says as if the lungs

do not inflate enough. Weakness 5/10. She had 02 sat 84 in the morning so needed

some O2 but 88-90 before sleep

Continuing the same dosing?

A: We are going to accelerate her recovery as long as she doesn’t aggravate with two

does of Bryonia 1M, one hour apart at night before bed, two doses in the morning after


57

waking one hour apart, two doses one hour hour apart four hour after the last dose in the

morning, two doses one apart after the last dose in the afternoon and end again with two

doses one hour apart before bed.

Please give me some news by tomorrow and report on the saturation index and blood

chemistry.

3- New York City emergency room nurse, 41 years old: Her hospital department had

inappropriate personal protective equipment for their personnel for three days, despite

dealing with a great number of Covid patients. 9 of the 12 nurses on her team were

diagnosed with Covid in the same week.

E.B. first experienced HA on March 24.

On March 25: sneezing, HA and watery eyes.

March 26: Watery eyes, red eyes, blurry vision, extreme dizziness on rising. T.: 99.9˚F

March 27: She was tested for SARS-Cov-2 and was sent home.

March 28: Tested returned positive for SARS-Cov-2.

Aching “like crazy.”

Diarrhea each time she ate.

March 31: Because of diabetes her physician prescribes azythromycin for 5 days.

On Friday April 3: Her symptoms were narrated to me by another nurse.

She was experiencing “horrible SOB”. She can't ascend upstairs.

She was told by her physicians to go to the ER (as a patient), but she refused, as she

knew she would get worse there.

SOB +++, worse stooping, walking, ascending stairs+++, and talking.

Extreme weakness from the slightest exertion; too weak to walk. Can't get out of bed

anymore. She is really scared. Her doctor insists again that she goes to the ER, but she

refuses again. She said she knew something was really wrong when she couldn’t get a

reading of he blood pressure while standing; it was 90/50 when sitting and 124/72

supine. Pulse 109 supine after having rested.

Hot flashes at night as soon as would lie down and had to uncover her feet as they were

burning.

Upper back pain worse turning in bed and lying down.

No chills and no sweat.


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Sulphur 200C was prescribed, which she ordered with the help of her friend nurse from

Amazon.

On April 7 at 2PM the remedy arrived as remained as bad as ever and she took her first

dose of Sulphur 200K and three more doses for the rest of the day.

April 8: She woke up feeling much, much better. She was able to walk, descend and

ascend stairs almost like normal. She cleaned her apartment and cooked on that day.

April 10: She felt 98% recovered. Her energy was up at 9.5 out of 10 (it was 5 at rest

during the previous 10 days, but it would drop down to 0-1 from the slightest exertion.

She was told to continue Sulphur 200K bid for two weeks. If at any times she would

experience any flu-like symptoms, she was told to take Sulphur 200K every hour for

three doses and call me, and to order Sulphur 1M. She said that she doesn't want to go

back to the ER because the working conditions are not safe there.

Here is our first case in which Carboneum oxygenisatum was prescribed:

Fred Rérolle wrote on April 10 from Lyon, France: “I can confirm that the severe forms of

covid-19 that I have unfortunately had in older people have presented a picture very

similar to the MM of Carboneum oxygenisatum.

“It is still too early, but I am happy to be able to give you the beginnings of the first

results on a patient who has been seriously affected since at least March 23 and who

was managed to stay alive but without stable results, forcing us to switch from one

remedy to another with a saturation which remained low between 83-(87% under Carb-

v.) under O2, an oscillating fever and severe breathing difficulties.

“Under Carboneum oxygenisatum 200 and then 1M since the evening of April 8: the

saturation rose quickly to 90, 93% and remains stable, no fever and very good clinical

improvement on auscultation. The whole team finds him transformed, rejuvenated! To be

followed but after many failures and deaths I regain hope.”

Beware that provings can occur with homeoprophylaxis:

The case of Frank who develop the symptoms of diarrhea of COVID-19. He recovered

with his chronic remedy (Sulphur). His wife decided afterward to give him Bryonia 200

weekly for prevention. The first dose knocked him right out. He had to go to sleep in the

middle of the afternoon until the next morning. The second dose was given a week later


59

about one hour before his regular bedtime. It knocked him out again. He had to go to

sleep right away and slept close to 10 hours.

Somewhere in China they were able to give 4-5% (about 300,000 out of 7 million

people!) prevention with Gels 30: the first week once a day, then once a week. 4-5%

took at least one dose. I do not know how they managed to do this!

No sick people recorded.

In that area of China the Corona incidence was relatively low.

Now new people are coming to this area of China, and the incidence is rising. They now

give Gels and Bry as a prevention.

In another Chinese area out of 600.000 people 50% got Gels. No sick people recorded.

They treated several patients with Corona, generally mild or medium ill. Most of them got

Gels, then Bry, then Eup-per: in one day they started to recover, in 3 days they were

healthy.

Clinical approach

Now that the table is set and we understand the importance of this subject for the public,

let’s now look at the practical aspect and examine case management of the patient with

influenza and pneumonia.

What message is implied in this last sentence:

First we are talking about treating the induvidual patient with influenza and pneumonia

and not treating influenza or pneumonia.

Second the word “patient” is singular to emphasize individualized treatment.

The key to success in homeopathy is strict individualization

Here is a text by W.L. Templeton about individualization of the influenza patient:

The Homeopathic Treatment of Influenza by W. Lees Templeton, Esq., M. D.


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“It is essential when considering the treatment of any disease by homeopathic methods

to realize that the symptoms upon which a choice is made are not always those upon

which the diagnosis depends.

One would say that probably the safer course is to proceed first with the diagnosis and

having elicited facts objective and subjective which lead one to a diagnosis to begin

again (though with greater practice the two stages are invariably combined and sorted

out in the prescriber's mind) and to take the patient's symptoms in greater detail and with

full attention to what we call modalities for often it is the modality which will decide the

choice.

To take a simple example that of thirst.

The homeopathic prescriber is not satisfied with simple description that thirst is present.

He will wish to know whether there is a desire for cold drinks, acid drinks, warm or

sweet, if in sips often or for copious amounts given frequently and so forth.

If the symptom is one of pain, headache or otherwise he will wish to know the type of

pain, aching, sharp, throbbing, burning, etc., the exact site, its distribution and extension,

whether eased by heat, dry and moist, whether relieved by rest, pressure or movement,

whether aggravated at any particular time of day and so forth.

Out of this welter and multitude of symptoms and modalities there will emerge with

practice a composite picture of, e. g., the patient who is essentially better when at rest,

usually Bryonia, the patient who is essentially better for movement often Rhus

toxicodendron and so forth.

Occasionally the symptoms are scanty and ill—defined except for one or two which are

peculiar, seeming to disregard all the known laws of physiology and nerve distribution.

Then it is that the choice is made on the peculiar symptom after a study of the Repertory

which is our compendium of all symptoms arranged according to and in order of their

importance, beginning with mentals and going right through the various systems of the

body. Thus it is comparatively easy to trace your symptoms and the corresponding

remedy.


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Reference to a materia medica may follow in order to confirm in its entirety the choice

and so to its administration.

The application of this method is the same whatever the disease and so in the following

description of the treatment of Influenza it must be presumed that the ordinary

examination and the diagnosis have already been made.

He would indeed be a bold man who would attempt to cover in a short paper such as

this anything like an adequate account of the homeopathic treatment of influenza.

The time allotted might indeed suffice to cover the treatment by orthodox methods, but

then, the treatment by orthodox methods once the diagnosis is made is more or less

routine, and that is the first point I wish to make: that the homeopathic treatment of

influenza (as in any other disease) is not routine but essentially individualistic; not, as

might be understood or rather misunderstood, according to the individual prescriber, but

according to the individual patient! That is to say, no two patients with influenza need

necessarily receive the same drug treatment, but that will be obvious as we go along.

On the other hand, it is true that most epidemics do run true to type not only in the

symptomatology, but also in the drug picture, which it shows to the homeopath.

There is often a ‘remedy epidemicus’ which will cover the majority of the cases seen,

though there will be many cases which do not fit into that average picture and will require

a different remedy because they have different symptoms, though suffering, as far as

one can tell, from the same disease.

This generalization is true of all disease when viewed from the homeopathic angle.

The method I have chosen in discussing the subject of treatment of flu may seem to you

too simple or too elementary for this learned assembly, but in order that one should not

approach the subject in any biased manner or with preconceived ideas even as to drugs,

I have taken to—day for the purpose of this discussion the experience of my partner, Dr.

Russell, and myself of a recent mild epidemic and without prejudice for, up till a week or


62

so ago, neither of us had any idea as to the proportion of cases treated by one drug or

the other.

I have taken 100 cases at random from one epidemic; there were others, and fortunately

one was able also to consider a number of others treated allopathically during the same

period under review.

I wish also to say that one has tried to eliminate various acute cases seen during the

same period which did not seem to be true influenzas, and one may have indeed

excluded some which were, though the outstanding symptoms were perhaps a tonsillitis

or some manifestation which one felt might not be justly termed influenza.

In our 100 cases, the following were the drugs used:

Gelsemium........ In 36 Cases.

Bryonia........,, 15,,

Sulphur........,, 10,,

Rhus tox.........., 7,,

Eupatorium......,, 7,,

Carbo veg........,, 2,,

Pyrogen........,, 2,,

Kali carb.........,, 2,,

Ars. alb.........,, 2,,

Phytolacca........,, 2,,

Belladonna........,, 5,,

and Lach., Phos., Terebinth, Nat. mur., Nat. sulph., Nux vom., Nit. ac., Baptisia, Kali nit.

and China in one case each.

Now I believe this will give us quite a satisfactory cross—section of the homeopathic

treatment of influenza as any other. It is founded on fact, not theory, and no other

ancillary treatment was given to these cases.

I fully realize that the epidemic was mild, but that would not affect our methods nor our

choice of drugs and, I hope, would not affect our results!” Templeton

Step one—Case Taking


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All the symptoms, objective and subjective, that made their appearance since the onset

of illness must first be gathered. Here we are talking about energy, chills, temperature,

sweat, pain, cough, sputum, respiration, complexion, thirst, appetite, taste, smell, pulse,

moods, sensitivities, disposition and behavior, tongue, sleep, HA, nausea, vomiting,

diarrhea, nosebleed, etc.

As a rule it is better to also know the chronic case or remedy of the patient, as in about

50% of the cases the acute remedy is the same as the chronic remedy of the person,

particularly when cases reach the pneumonia stage. In this current epidemic we don’t

have enough experience to know an approximative percentage of people who developed

pneumonia will require their chronic remedy.

Step two—Case analysis

Here you must ask yourself the question: “What is most peculiar in this case with

influenza or pneumonia?”

You then assemble all the most characteristic symptoms of the disease, and arrange

them in a hierarchy.

You have then created the genius of the disease. You now need to find in the materia

medica the remedy whose genius is most similar to the one of the disease of the patient.

You may first need to repertorize the case to find out which remedies need to be studied

first.

Be ready to prescribe with certainty any remedy in our MM, as long as there is a clear

correspondence of geniuses. Forget about recipes from well-know and well-intended

teachers, as the last words come to the principle of similarity, and not from what people

say.

I have treated over the years cover 250 cases with pneumonia and the remedies that I

have prescribed most also correspond pretty much to the ones that can be found in the

literature.

In order of importance, Phosphorus comes on top of the list, followed closely by Sulphur

and Bryonia, and then Lycopodium, Kali carbonicum, Belladonna, Antimonium

tartaricum, Aconite, Carbo vegetailis, Ipecac, Chelidonium and Ferrum phosphoricum.


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The other remedies that have been less often indicated in a descending order of

frequency are Cannabis indica, Arsenicum album, Calcarea carbonica, Kali

bichromicum, Veratrum viride, Spongia, Digitalis, Hepar sulphuricum, Gelsemium,

Pulsatilla, Silica, Ferrum metallicum, Sanguinaria, Chamomilla, Lobellia, Ammonium

carbonicum, Squilla, Opium, Crotalus horridus, Hyoscyamus, Stramonium and Cuprum

metallicum.

But in this epidemic, I predict we will have to call other remedies, perhaps not so

commonly used in the typical case of pneumonia, as it was the case with Cuprum

metallicum for late-stage cases of pneumonia during the NIP.

Beware that some of the above list of remedies are commonly indicated chronic

remedies. This mean it has always better to have the chronic case in order to prescribe

with certainty. For instance, the Phosphorus patients will most likely need no other

remedy than Phosphorus if they develop pneumonia.

But you still need to verify that all the characteristic aspects of Phosphorus are present.

And remember the key importance of the sine qua non symptoms. Therefore a case

whose thirst would be diminished during the acute state of sickness is unlikely to be a

Phosphorus case. Or if you have all the indications for Phosphorus and you find out that

the patient is drinking warm teas for comfort the case is unlikely to be a Phosphorus

case.

Once you have the gut feeling for a remedy that matches the genius of the disease, you

need to administer this remedy in an optimal posology.

Optimal posology means an optimal potency, optimal repetition and optimal way of

administering the remedy for an optimal recovery in terms of rapidity, gentleness,

completeness and durability.

This means that the posology must be individualized in each patient at each visit.

Therefore at each visit, the potency, repetition and way of administering the remedy

must be individualized and adapted to the current circumstances and state of the patient.

It has been clinically demonstrated that the higher the potency, the faster is the recovery

of the patient.


65

In his 1864 essay On the Use of High Potencies in the Treatment of the Sick, Dr. Carroll

Dunham of New York summarized the experiments conducted in a Vienna hospital over

a 10-year period, which tried to determine the most efficacious potency of homeopathic

remedies.

Drs. Wurmb, Caspar and Eidherr treated all patients with pneumonia with the thirtieth

decimal dilution for the first three years, then using the sixth for three years, and for the

remaining four years with the fifteenth decimal dilution.

They measured the seat of infiltration, the time it took for resolution to begin and the

resolution to be complete, and the length of hospitalization and convalescence.

Time of hospitalization of patient with pneumonia at the Leopoldstadt Hospital

hospital in Vienna from 1850-1859

Group Potency used Number of

patients

Total time of

hospitalization

Average time

of

hospitalization

per patient

Group 1

1850-1852

30 decimal 55 680 12.4

Group 2

1853-55

6 decimal 31 606 19.5

Group 3

1856-1859

15 decimal 54 795 14.7

But we have had since more experience with posology. In severe cases do not hesitate

to use high potency and repeated them often.

I will often begin the case with a 200 potency and continue unto the 10M potency. Rarely

a 50M will be needed to complete the course of treatment.


66

But in this epidemic, we may need to develop new strategies, particularly in the ARDS

cases.

The remedy is usually administered in water, a pellet of the remedy is put in about 4-10

ounces of water, the water is stirred or succussed vigorously before each dose, a

teaspoon to a tablespoon is given as a dose, and depending on the severity and

ascendency of the disease, it could be given every 10, 20, 30, 60 or 120 minutes, and

always before bedtime, as exacerbations can occur during sleep.

Follow-up should be done within 10 minutes to one hour in the more severe cases and in

a few hours in less severe cases.

I always make sure the patient repeat the remedy before sleep, and if they get up at

night to urinate, they could also repeat the remedy, especially in more severe cases.

Further, patients are told if at any time they would see any sign of a relapse to repeat the

remedy immediately and to continue it at quick intervals, let’s say every 10, 20 or 30

minutes or one hour until they begin feeling much better.

The following parameters must be continually monitored in patients with pneumonia in

order to be sure that they are continually improving:

1- Heart rate

2- Temperature

3- Respiratory rate (and shortness of breath)

4- Oxygen saturation index

5- Pain

6- Energy

7- Coughing

8- Expectoration

9- Any particular symptom of the patient, such as thirst, anxiety, disposition, etc.


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The remedy is repeated less often as the patient is improving. It would be a mistake to

stop treatment when the patient shows the first sign of recovery, as relapse are insidious

or could happen during sleep and the patient would then be in a worse state and you

would have lost a lot of time in the recovery of the patient for no good reason.

The patient is thus followed until complete resolution of the symptoms, and the remedy

can be continued after recovery to prevent a relapse.

Beware that there might be a change of picture during the course of treatment, which

would require a change of remedy.

There are four stages in pneumonia, which consists of:

1- Inflammation

2- Consolidation

3- Resolution

4- Convalescence

If you begin treatment with the first stage remedy when the patient is at the end of the

first stage and about to enter into the second stage, the patient will quickly enter into the

second stage and require a different remedy, preferably a complementary remedy.

Hygienic measures and adjunctive natural approaches

Rest, avoidance of stress, fresh air or avoidance of keeping the patient in a room with

staled air, and hydration of the febrile patient are necessary hygienic measures to

assure a quick recovery.

When patients experiences pain I recommend that they drink two glasses of water within

one hour, and as a rule the pain decrease and patient feels bettet.

Adjunctive natural approaches can also be used in conjunction with genuine

homeopathy to speed up the healing process and the full recovery of the patient.


68

This would include water-only fasting1 the febrile patient. As a rule, as long as the fever

persists recovery will be speeded up if the patient is fasted.

I would like here to point out that Hahnemann wrote the Organon of Medicine and not

the Organon of Homeopathy, as homeopathy is one of the many aspects in the vast field

of medicine. Understandingly, Hahnemann encouraged the use of lifestyle and

preventive medicine throughout his work, psychotherapeutics (par. 17), electrotherapy

(par. 286), magnetic energy (par. 287), manual therapy (par. 288-290) and finally

hydrotherapy (par. 291).

In this last paragraph on hydrotherapy, Hahnemann points out that hydrotherapy can be

a useful adjuvant, in the restoration of health in acute and chronic affections, and

especially during the convalescence period.

The underlying principle of hydrotherapy is simple: the healing of tissues is directly

proportional to the amount of blood flow. The greater is the blood flow in and out of a

diseased organ, the greater the defense, the detoxification, the nourishment and the

restoration of this tissue, and therefore the greater is the healing process.

Hahnemann was right. If we look at statistics on hydrotherapy and pneumonia they are

the closest to the ones obtained by genuine Hahnemannian homeopathy.

Treatment

Number of Patients

Number of Recoveries

Survival Rate (%)

Number of Deaths

Mortality Rate (%)

Homeotherapeutics 25,216 24,350 96.6 866 3.4

Genuine Hahnemannian Homeopathy

960 956 99.6 4 0.4

Hydrotherapy 568 559 98.4 9 1.6

And this is the genius of naturopathic medicine that will make use of different modality in

the same patient in order to obtain a synergetic effect. Thus by combining genuine

1 See Essentials in Therapeutic Fasting (a 6-hour webinar on the fundamentals of water-only fasting) at https://www.purehomeopathy.org/product/essentials-in-therapeutic-fasting-2016/

https://www.purehomeopathy.org/product/essentials-in-therapeutic-fasting-2016/


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homeopathy with hygienic measures, hydrotherapy, as well as other approaches such

as magnetic energy, the outcome should even be more dramatic in terms of the ease

and speed of recovery.

Also when people become hypothermic, lets say below 37˚C or 98.6˚F and more

particularly below 36.5 and even more urgently below 36.0˚C, it becomes important to

warm up the patient with hot water bottles, heat lamps and extra blankets, especially if

the extremities are cold and the patient is sinking. For clinicians who know how to

properly handle hydrotherapy, this is very easily achieved by using warm towels over

any parts of the body, but specifically the back or the chest and abdomen, which are

followed by what is called a heating compress.lxxxv

Heating compress could be extremely beneficial to enhance defense during a febrile

disease, as simple as wet socks, especially when the patients is going to sleep.lxxxvi

The principles and practice of hydrotherapy are well explained in Lectures on

Naturopathic Hydrotherapy,lxxxvii the textbook used in naturopathic medical college.

Prognosis of the homeopathic treatment of the patient with influenza and

pneumonia

A rapid and complete recovery of health and without side-effects should be expected in

100% of cases of influenza and pneumonia patients under homeopathic treatment,

regardless of the degree of difficulty, when the treatment is based on the totality of the

acute and chronic symptom pictures, an optimal posology and proper case

management, which would include proper hygienic and adjuvant care, and the right

conditions are met, i.e., readily accessible range of remedies and potencies, patient

compliance, health conducive environment, low stress, etc.

The patient should begin to improve soon after taking the simillimum and the patient is

followed closely to insure that the recovery is steady and without any relapse.

Since I began practice, I have seen patients with pneumonia with all types of severity,

such infants or young children with life-threatening viral pneumonia that were in an

oxygen tent, a 99 year old women who were on her deathbed, patients with lung cancer,

a weak and emaciated patient who had an acute exacerbation of chronic Aspergillus

pneumonia of 4 year duration, patients with heart and/or kidney failure, patients with


70

cystic fibrosis, an AIDS patient who was dying PCC pneumonia and cryptococcal

meningitis, etc.

P. P. Wells who was well-known to have mastered homeopathy through many long

years of assiduous study and who had a busy practice in Brooklyn reported a 0%

mortality rate in close to 500 cases in the first 43 years of his practice.

The response has always been uniform, that is, as soon as a remedy with a high degree

of similarity is given there is a healing response, which if it is kept up will lead the patient

to a quick and complete recovery.

Recovery is not only prompt, but often patients will mentioned afterward that they feel

better than at any other time in their life they can remember.

It would actually be hard to imagine having a pneumonia patient die under genuine

homeopathy, as long as a skilled physician remains at the bedside.

Let me cite you a couple of these cases.

1- A 2 year-old boy with viral pneumonia, who is unresponsive to treatment and is

lifeless in an oxygen tent with a respiratory rate of 90 per minute for the last 3 ½ days.

2- A 37 year-old AIDS patient who is on his deathbed, unconscious and dying of

pneumocystic carinii pneumonia, cryptococcal meningitis, and liver and kidney failure,

and is on very toxic anti-fungal medications and antibiotics, 80 mg of prednisone and

morphine.

3- A 71 year-old woman with stage IV B-cell non-Hodgkin lymphoma who developed

multi-lobar pneumonia with complete exhaustion, a resting respiratory rate varying at

between 23-35 and extreme dyspnea.

Conclusion

All evidence so far reviewed shows that:

1- Mortality in pneumonia patients is very low under homeopathic treatment, better than

with any other system of medicine.

2- Recovery is prompt and complete, and without side-effect.


71

3- The totality of the symptoms of the acute and chronic disease pictures is the base for

treatment.

4- The single remedy that is most similar to the totality of the characteristic symptoms,

that is known as the genius of disease, must be prescribed in an optimal posology.

5- It is very pertinent to address the subject of pneumonia, as it is endemic all the time

all over the world.

Pneumonia is a common illness affecting approximately 450 million people a year

around the world and killing 4 million people or 7% of the world yearly total.lxxxviii,lxxxix

An estimated 1.4 million children under the age of five years die every year from

pneumonia—more than AIDS, malaria and tuberculosis combined, and accounting for

18% of all deaths of children under five years old worldwide. In the United States alone,

community-acquired pneumonia affects 5.6 million people per year, and ranks 6th

among leading causes of death.

One in every 25 Americans will die of pneumonia.

In 2009, there were approximately 1.86 million emergency department encounters for

pneumonia in the United States.

In 2011, pneumonia was the second-most common reason for hospitalization in the

U.S., with approximately 1.1 million stays.

Antibiotic resistance is found in all pathogens associated with community-acquired

pneumonia, which has considerable long-term effects on quality of life.

The age-adjusted annual mortality for combined influenza and pneumonia has been

steadily rising over the last few decades. It increased 9 percent from 2012 to 2013.

As a result, pneumonia is the third most frequent cause of hospitalizations (births are

first, and heart disease is second)

Between 2009-2014 in the UK, the mortality rate from community-acquired pneumonia

was 13.2%. (Daniel, Priya, et al. "Mortality reduction in adult community-acquired

pneumonia in the UK (2009–2014): results from the British Thoracic Society audit

programme." Thorax (2016): thoraxjnl-2016.)


72

Case fatality rate health-care acquired pneumonia is around 50% in the first 2 months

and 90% within the first year of discharge. (Yalçınsoy, Murat, et al. "Case fatality rate

related to nosocomial and ventilator-associated pneumonia in an ICU: a single-centre

retrospective cohort study." Wiener klinische Wochenschrift 128.3-4 (2016): 95-101.)

The mean hospital charge for CAP is $25,218, while it jumps to $65,292 for patients with

HAP, and peaked at $150,841 for patients with VAP. (Kollef, Marin H., et al.

"Epidemiology and outcomes of health-care–associated pneumonia: results from a large

US database of culture-positive pneumonia." Chest 128.6 (2005): 3854-3862.)

Epilogue

We need to get the message across that homeopathy offers the most effective, safe,

lifesaving, debility-saving and cost-saving health care system for patients with

pneumonia, with all type of severity, including the ones who are on their deathbed in an

intensive unit.

Extra points to maintain and optimize health

Eating and sleeping well, exercise daily, getting regular sun on your skin and seek and

cultivate mental and emotional poise.

Join Dr. Michael Gregger on April 8, 2020, for a webinar on How Not to Die in a Pandemic What is the best thing we can do to keep ourselves and our families safe from the coronavirus? https://nutritionfacts.org/2020/03/26/how-not-to-die-in-a-pandemic-webinar-coming-up/

Why you should care about your diet

https://nutritionfacts.org/introduction/

Taking personal responsibility for your health


How not to die

https://nutritionfacts.org/book/

The power of a vegan diet with wholesome food

https://nutritionfacts.org/2020/03/26/how-not-to-die-in-a-pandemic-webinar-coming-up/



https://nutritionfacts.org/book/


73

https://www.youtube.com/watch?v=eZWzNfOpbCQ

Nutritional yeast beta-glucans appears to have immune-strengthening effects, at least in

children, and those under physical or mental stress.

https://nutritionfacts.org/video/best-food-to-counter-stress-induced-immune-suppression/

Chlorella for people who exercise can also boost immune function:

https://nutritionfacts.org/video/preserving-athlete-immunity-with-chlorella-2/

People should keep exercise, even the ones who are bedridden:

Exercise That Prolongs Your Life by Stephan Esser MD

https://www.youtube.com/watch?v=UtMCiG2TGIg&t=2136s

Make sure rooms are well ventilated.

See: https://vimeo.com/402577241

Management of the febrile patient

Fever is beneficial for survival and its suppression tends to be detrimental.

Increase blood circulation during fever with hydrotherapy.

Why it is not a good idea to use NSAIDs and antipyretics (and perhaps

antitussivesxc)

Here we are dealing with the confrontation of two major paradigms regarding health and

health care.

On the one hand, the body is made of molecules and medicine attempts to manipulate at

best it can to manage symptoms with pharmaceuticals. You have a fever, let’s suppress

it. You will be more comfortable. You have a cough, let’s suppress it. You will sleep

better. Etc.

On the other hand, we have a dynamic paradigm, which is based on the understanding

that health is a spontaneous process, as the living organism is in a constant state of self-

regulating, self-organizing, self-defending and self-repairing. When this process is

harmonious there is health.

https://www.youtube.com/watch?v=eZWzNfOpbCQ

https://nutritionfacts.org/video/best-food-to-counter-stress-induced-immune-suppression/

https://nutritionfacts.org/video/preserving-athlete-immunity-with-chlorella-2/

https://www.youtube.com/watch?v=UtMCiG2TGIg&t=2136s

https://vimeo.com/402577241


74

This attempt to maintain balance is a normal, spontaneous and positive dynamic state. It

is not a fixed state, but is the fluctuating quality of an organism that is constantly trying to

adapt to its environment and other conditions of life.

However, this state of balance and harmony that is health is natural and spontaneous as

long as the conditions necessary for life and the needs of the individual are met.

When the inner or outer environments are degraded, the conditions necessary for life

are degraded, the vital process is stressed trying to maintain a state of equilibrium,

symptoms of discomfort appear, the organism is gradually exhausted and life eventually

becomes extinguished.

Disease is therefore a deviation from the state of equilibrium, which is associated with a

state of well-being and harmony.

Disease is therefore not a separate entity from the living being, but a state of imbalance

of the latter.

The concepts of resisting to disease or of catching a disease, such as the flu for

instance, are therefore false.

Disease is in fact a dynamic process in which the force that drives life continually tries to

adapt to forces, influences and conditions that are contrary to life.

The living being is therefore not resisting disease, but rather trying to adapt to the

conditions that are unfavorable to life and are the real causes of disease.

Symptoms that appear during fever are viewed as an attempt of adaptation. The role of

the physician is not to suppress such attempts of the living organism to restore health,

but to support it by using influences and forces of nature that are known to trigger and

support the healing process.


75

In a recent study, the average body temperature of hospitalized patients with severe

COVID-19 36.5˚C, which was perhaps due to antipyretics or immunosuppression.xci

Example: “After receiving medication, his body temperature reduced from 39.0 to

36.4°C. However, his cough, dyspnea, and fatigue did not improve.”xcii

In 2019, on the advice of the National Agency for the Safety of Medicines and Health

Products, French health workers have been told not to treat patients with fever or

infections with ibuprofen.xciii

Paul Little, professor at the University of Southampton, has reviewed the relevant

medical literature on the use of NSAID and viral infections and reported that there was

“no evidence relating specifically to people with covid-19,” but that there was

“reasonable evidence of a link between NSAIDs and both respiratory and cardiovascular

adverse effects,” and therefore caution was the best policy. “Pending further research, a

pragmatic and cautionary approach would be for the public to avoid these plausible

harms. Regular NSAID use should probably not be recommended as the first line option

for managing the symptoms of covid-19,” he said.xciv

“Researchers at the Centre for Evidence-Based Medicine in Oxford have opened up

another avenue for debate, however, by questioning the traditional advice of using over-

the-counter pills to lower a fever in those with acute respiratory illness in an analysis

published on 19 March. They said that the benefits of fever should not be overlooked.

‘Fever is common and is a good prognostic sign in acutely unwell patients with infection,

associated with higher rates of survival.’

“They concluded: ‘The current evidence does not support routine antipyretic

administration to treat fever in acute respiratory infections and covid-19,’ adding that the

rapid and widespread purchase of antipyretic medication over-the-counter has led to

temporary shortages.”xcv

In vitro studies demonstrated that both ASA and acetaminophen decreased the

interferon-induced antiviral responses of cultured mammalian cells. We have


76

demonstrated that exposing young mice to antipyretics results in transient increases in

viral virulence, as judged by time-dependent increases in mortality.xcvi

Influenza infected subjects who received antipyretics were sick on average 3.5 days

longer than those not receiving such treatment.xcvii

This systematic review and meta-analysis has shown that antipyretic treatment

increases the risk of mortality in animal models of influenza infection.xcviii

Our objective was to evaluate the impact of antipyretic therapy strategies on the

outcomes of critically ill patients.

Between December, 2002 and September, 2003, 572 patients were screened, of whom

82 met criteria for enrolment. Forty-four patients were randomized to the aggressive

group and 38 patients were randomized to the permissive group for a total of 961 and

751 ICU days, respectively. There were 131 infections in the aggressive group and 85

infections in the permissive group (4 6 vs. 3 2 infections per patient, p 0.26). There were

seven deaths in the aggressive group and only one death in the permissive group (p

0.06, Fisher Exact Test). The study was stopped after the first interim analysis due to the

mortality difference, related to the issues of waiver of consent and the mandate for

minimal risk.

Conclusions: Aggressively treating fever in critically ill patients may lead to a higher

mortality rate. The present study was stopped prematurely when an interim analysis

showed an alarming trend towards increased mortality in the group treated aggressively

for a temperature of 38.5°C. The study demonstrated a trend towards an increased rate

of infection in the aggressive group. There was a seemingly paradoxical decrease in

systemic inflammatory response syndrome score in the permissive group (who were

allowed to remain febrile). This may indicate the body’s ability to respond to an

inflammatory state while being stimulated by the febrile response. Despite this

statistically significant difference, the clinical significance remains unknown. This study

demonstrated that an aggressive approach of treating fever in critically ill patients

trended toward a higher mortality rate. The increased mortality of patients who received

aggressive antipyretic treatment lead to early study termination due to ethical

considerations.xcix


77

We found that treatment with non-steroidal anti-inflammatory drugs (NSAIDs) or

acetaminophen independently increased 28-day mortality for septic patients (adjusted

odds ratio: NSAIDs: 2.61, P = 0.028, acetaminophen: 2.05, P = 0.01) but Application of

physical cooling did not associate with mortality in either group. These findings suggest

that fever and antipyretics may have different biological or clinical or both implications for

patients with and without sepsis.c

Antipyretic treatment has been suspected as a enhancing factor for the influenzal

encephalitis/ encephalopathy, especially in Reye's syndrome, based on epidemiological

data [5-7, 18, 20], and the restraint of aspirin treatment for influenza patients resulted in

a sharp decline of Reye's syndrome in the U.S.A.

We here demonstrate that antipyretic treatment aggravated the hematogenous spread of

the influenza virus to the CNS in chicks.ci

The first case treated in the USA: Treatment during this time was largely supportive. For

symptom management, the patient received, as needed, antipyretic therapy consisting of

650 mg of acetaminophen every 4 hours and 600 mg of ibuprofen every 6 hours. He

also received 600 mg of guaifenesin for his continued cough and approximately 6 liters

of normal saline over the first 6 days of hospitalization. cii

Despite the clear evidence of the advantages of fever, the WHOciii and Mayo Clinic still

recommend anti-febrile medications in patients affected with viral infections, “Fever

reducers. You or your child may also take over-the-counter medications such as

acetaminophen (Tylenol, others), ibuprofen (Advil, Children's Motrin, others) or naproxen

(Aleve) to help relieve the fever that accompanies measles.”civ

Acetaminophen is also termed paracetamol and N-acetyl-p-aminophenol (AAP or

APAP). More than 70% of the population in western countries has taken acetaminophen

at least once, and a relevant percentage takes the drug chronically as a mild pain

reliever and antipyretic.15 Acetaminophen is used to treat pain and fever and it has

become one of the most popular OTC non-narcotic analgesic agents. For example, this

compound has been taken at least once by >85% of children under the age of 91


78

months in the UK.15 In the US, approximately 79% of the general population regularly

takes acetaminophen, including more than 35% of pregnant women.cv

The effects of aspirin and paracetamol on mortality due to influenza B infection were

investigated in neonatal and weanling mice and in in vitro studies, which demonstrated

that both aspirin and paracetamol caused a dose-dependent reduction in interferon-

induced anti-viral responses. cvi

To give an idea on how careful people taking NSAIDm recent researches have showed

that mothers who take acetaminophen or ibuprofen during pregnancy, even for just one

day, can lead to infertility in their offspring.cvii,cviii

Acetaminophen produces neurotoxic effects on rat brain neurons both in vitro and in

vivo, its use during pregnancy is associated with teratogenic defects in testicular function

and the gastrointestinal tract, and there is increased incidence of asthma in maternally

exposed and postnatally exposed children.cix

Acetominophen is converted to the very toxic metabolite N-acetyl-p- benzoquinone imine

(NAPQI; Figure 2), which can cause oxidative damage to proteins, nucleic acids, amino

acids, and lipids, in addition to increased mitochondrial and cellular damage and death.

cx

In this study, we have demonstrated that children exposed prenatally to acetaminophen

in the second and third trimesters are at increased risk of multiple behavioral difficulties,

including hyperactivity and conduct problems.

Children exposed to acetaminophen prenatally are at increased risk of multiple

behavioral difficulties, and the associations do not appear to be explained by

unmeasured behavioral or social factors linked to acetaminophen use insofar as they are

not observed for postnatal or partner’s acetaminophen use. Maternal prenatal

acetaminophen use at 18 (n = 4415; 53%) and 32 weeks of pregnancy (n = 3381; 42%)

was associated with higher odds of having conduct problems (risk ratio [RR], 1.42; 95%

CI, 1.25-1.62) and hyperactivity symptoms (RR, 1.31; 95% CI, 1.16-1.49), while maternal

acetaminophen use at 32 weeks was also associated with higher odds of having


79

emotional symptoms (RR, 1.29; 95% CI, 1.09-1.53) and total difficulties (RR, 1.46; 95%

CI, 1.21-1.77).cxi

Paracetamol has been postulated to cause a diverse range of embryo–fetal and

neonatal adverse effects, dependent on dose, duration of treatment and the trimester of

exposure.cxii

Together, these nine studies suggest an increased risk of adverse neurodevelopmental

outcomes following prenatal APAP exposure. cxiii

A recent systematic review suggests that there is an association between prenatal

exposure to paracetamol and an increased risk of neurodevelopmental disorders such

as ADHD, HKD Hyperkinetic Disorder and ASD.cxiv

Acetaminophen (APAP) ranks at the top of the list of medications taken prenatally, as

pregnant women have easy access to this over-the-counter medication, which in any

case is generally recommended by physicians to treat fever and pain in and out of

pregnancy. “Insights on an increased risk for pregnancy complications such as

miscarriage, stillbirth, preterm birth or fetal malformations upon APAP exposure are

rather ambiguous. However, emerging evidence arising from human trials clearly reveals

a significant correlation between APAP use during pregnancy and an increased risk for

the development of asthma in children later in life.”cxv

Respected physicians consider that the connection of acetaminophen with asthma has

been proven beyond a reasonable doubt. Dr McBride, Professor of Pediatrics at

Department of Pediatrics, Northeast Ohio Medical University, Rootstown, Ohio

summarizes the evidence for the acetaminophen asthma findings : “There remains a

possibility that confounding variables might explain some or all of the association

between acetaminophen and asthma. For this reason we need further studies. At

present, however, I need further studies not to prove that acetaminophen is dangerous

but, rather, to prove that it is safe. Until such evidence is forthcoming, I will recommend

avoidance of acetaminophen by all children with asthma or those at risk for asthma and

will work to make patients, parents, and primary care providers aware of the possibility

that acetaminophen is detrimental to children with asthma.”cxvi


80

Since all children may be at risk from asthma, Dr McBride is in effect saying that

acetaminophen is contraindicated for the treatment of any children.

Although the case for acetaminophen being a cause of autism and attention de cit with

hyperactivity may not be as strong as the case for asthma, the severe asthma risk

combined with the risks of autism and attention de cit with hyperactivity are so severe

that we as a society should maintain a degree of caution with acetaminophen given the

proven overall toxicity due to accidental overdose of the drug, and the availability of

ibuprofen or abstaining from treatment as alternatives. cxvii

We examined if neonatal paracetamol exposure could affect the development of the

brain, manifested as adult behavior and cognitive de cits, as well as changes in the

response to paracetamol. cxviii

Exposure to and presence of paracetamol during a critical period of brain development

can induce long-lasting effects on cognitive function and alter the adult response to

paracetamol in mice. cxix

In conclusion, this study shows that one of the most commonly used pharmaceutical

drugs, paracetamol, can act as a developmental neurotoxic agent, affecting cognitive

function and altering adult responsiveness to paracetamol and thereby its antianxiolytic

and analgesic effect. These results are supported by several recent studies with other

compounds, both pharmaceutics and environmental pollutants, with similar mechanistic

action and must therefore be taken seriously. cxx

In a Spanish study, prenatal acetaminophen exposure was associated with a greater

number of autism spectrum symptoms in males and showed adverse effects on

attention-related outcomes for both genders. “These associations seem to be dependent

on the frequency of exposure.”cxxi Similarly, maternal use of acetaminophen in

pregnancy was associated with ASD with hyperkinetic symptoms only, suggesting that

acetaminophen exposure during the early phase of fetal life may specifically impact this

hyperactive behavioral phenotype.cxxii


81

This ecological analysis identified country-level correlations between indicators of

prenatal and perinatal paracetamol exposure and autism/ASD. State level correlation

was also identified for the indicator of perinatal paracetamol exposure and autism/ASD.

Like all ecological analyses, these data cannot provide strong evidence of causality.

However, biologic plausibility is provided by a growing body of experimental and clinical

evidence linking paracetamol metabolism to pathways shown to be important in autism

and related developmental abnormalities. Taken together, these ecological findings and

mechanistic evidence suggest the need for formal study of the role of paracetamol in

autism. cxxiii

In a randomised trial in Lambaréné, Gabon, 50 children with P falciparum malaria were

treated with intravenous quinine, and received either mechanical antipyresis alone, or in

combination with paracetamol. Paracetamol, although potentially hepatotoxic, is widely

available, and has become the antipyretic drug of choice for children with malaria.cxxiv

Parasite clearance time was significantly prolonged in patients who received

paracetamol with a difference of 16 h (8–24 h; p=0·004). These data suggest that

paracetamol has no antipyretic benefits over mechanical antipyresis alone in P

falciparum malaria. Moreover, paracetamol prolongs parasite clearance time, possibly by

decreased production of TNF and oxygen radicals. (despite the fact that all patients

received mechanical cooling which is recommended by the WHO recommends fanning,

tepid sponging, and cooling blankets as mechanical measures for fever control. So both

had the same effects on lowering temperature )cxxv

Our data suggest, as others have argued,cxxvi that the benefits from paracetamol have

been exaggerated.cxxvii

We have shown that paracetamol has a significant influence on PCT. Parasite clearance

was slower in children treated with the drug (75 h) than in those receiving mechanical

antipyresis only (59 h).cxxviii

TNF has an important antiparasitic role in malaria,10,13 possibly owing to the production

of oxygen radicals, which are thought to be part of the distal arm of the immune cascade

cxxix


82

The following results were better in the placebo group (p <.05): time to total scrabbing

5.6 days (SD 2.5) versus 6.7 days (SD 2.3) in the acetaminophen group, and itching on

day 4 in the placebo group (symptom score 2.9 [SD 0.20] vs 2.2 (SD 0.26]). These

results provide evidence that acetaminophen does not alleviate symptoms in children

with varicella and may prolong illness. And may be It is tempting to conclude that the

children treated with acetaminophen shed virus for a longer period because viral

shedding ends when the lesions are dry and crusted cxxx

In humans, observational studies have shown a positive correlation between febrile

temperature during bacteraemia and survival, and hypothermia as a manifestation of

sepsis is a negative predictor of outcome. cxxxi

Temperature elevation is also associated with a wide range of immunological effects

relevant to the host defence against influenza infection.40–43 These include a greater

proliferative response of lymphocytes, and increased production and activity of cytokines

such as interferon. Whether reducing the physiological fever with antipyretics modifies

these immunological responses, and thereby influences clinical outcomes, remains

uncertain cxxxii

The degree of temperature sensitivity is also a characteristic that determines virulence,

such that strains with a shut-off temperature of 38°C or lower cause mild symptoms,

whereas influenza strains with a shut-off temperature of 39°C or more cause severe

symptoms.34 As a result, it is likely that antipyretic use leads to a reduction of the

physiological febrile response which would otherwise inhibit replication. Furthermore, it

suggests that the most virulent strains are those most liable to thrive with antipyretic use,

as the high shut-off temperature may not be reached or sustained if an antipyretic is

used and thus the virus will replicate without temperature-induced inhibition. cxxxiii

However, both these studies reported an increased risk of mortality with antipyretic use,

of between 1.5 and 1.8-fold, consistent with our calculated pooled estimate of risk. In

conclusion, this systematic review and meta-analysis has shown an increased mortality

rate in animals treated with antipyretics during infection with influenza A or B, with no

informative randomized placebo-controlled trials in humans cxxxiv


83

This is suggested by the recent study which showed that the reduction in antibody

response to vaccination with paracetamol treatment occurred in children with or without

febrile responses. cxxxv

In vitro studies were also undertaken which demonstrated that both aspirin and

paracetamol caused a dose-dependent reduction in interferon-induced antiviral

responses. cxxxvi

However, it is of interest that Crocker et al. reported that both aspirin and paracetamol

decreased the interferon-induced antiviral responses of cultured mammalian cells cxxxvii

The first is that human-tropic influenza viruses replicate in the upper respiratory tract at

33–37°C and that most naturally occurring influenza A strains that infect humans are

temperature-sensitive, with inhibition of replication at high temperatures within the

physiological range of 38–41°C.cxxxviii

There was a striking correlation between antipyretic therapy and duration of illness in

subjects infected with influenza A and Shigella sonnei, In studies involving experimental

infections with both influenza A and S. sonnei, subjects treated with antipyretic agents

were ill significantly longer than those not receiving antipyretics. Moreover, in subjects

infected experimentally with influenza A and S. sonnei, there was a highly statistically

significant positive correlation between the number of doses of antipyretic agents

received and the duration of the illness (Figure 1, p<0.001) Influenza A-infected subjects

who received antipyretic agents during their illness were sick, on average, 3.5 days

longer than those not receiving antipyretic agents (8.8 ± 2.3 days vs 5.3 ± 3.0 day,

p<0.001) S. sonnei-infected subjects also exhibited a striking prolongation of illness in

association with antipyretic therapy (4.6 ± 2.1 days for those receiving antipyretics vs 1.9

± 1.6 days for those not receiving antipyretics, p<0.001).cxxxix

A twofold increased risk of mortality was found with aspirin treatment in animal models of

S pneumoniae infection. No relevant human studies were identified.cxl


84

No randomized placebo-controlled trials of antipyretic use in influenza infection in

humans reported data on mortality. We suggest that randomized placebo-controlled

trials of the effect of antipyretic use on the risk of mortality with human influenza infection

are required.cxli

An increased risk of mortality in animals was reported in studies of aspirin, paracetamol

and diclofenac.cxlii

Autism and acetaminophen

Autism and autism spectrum disorders are enigmatic conditions that have their origins in

the interaction of genes and environmental factors. In this hypothesis, genes statistically

associated with autism are emphasized to be important in inflammation and in innate

immune pathways, including pathways for susceptibility to asthma. The role of

acetaminophen (paracetamol) in an increased risk for asthma is described and a

possible similar link to an increased risk for autism is suggested. cxliii

Activation of liver Kupfer cells (phagocytic macrophages of the liver) by acetaminophen

metabolites have been shown to activate cytokines and alter innate immunity in liver

injury cxliv

NIH researchers: Both asthma and autism have had a similar apparent rise in the

number of cases since approximately 1980, over the past 30 years, and in both

disorders these have been repeatedly referred to as “epidemics”.cxlv

In disease prevalence curves of both autism and asthma in the US, the sharp rise in

cases began in approximately 1980. In the period from 1980 to 1990 there were two

slight downturns in the slope of the curves, after 1982 and after 1986. Both curves

continue markedly upward after 1988 into the 1990s cxlvi

In addition, there are similar slight downturns in slopes of the curves at the same times

from independent and geographically disparate studies in both asthma and autism

including; hospitalizations75, autism cases in Minnesota76, autism in north east

London77, and autism in an urban area in Sweden cxlvii


85

Four significant events related to acetaminophen use occurred between 1980 and 1990.

The first was the CDC caution in 1980 concerning the relationship of aspirin to the risk of

Reyes Syndrome which was followed by a public and professional warning by the United

States Surgeon General regarding a possible Reyes Syndrome-aspirin association79.

These cautions against the use of aspirin as a fever reducer in children were largely

responsible for the replacement of aspirin by acetaminophen as a pediatric antipyretic80.

cxlviii

In 1982 and again in 1986 there were product tampering cases where acetaminophen

tablets were laced with cyanide resulting in eight deaths. Acetaminophen sales

collapsed after each tampering event, but recovered in less than a year in each case81-

83. These dates roughly correspond to the slight downturns in asthma and autism cases

mentioned above. cxlix

There is strong epidemiological evidence that acetaminophen use in late pregnancy

and/or in the first year of life increases the risk of subsequently acquiring childhood

asthma and related allergic disorders. This may be due to direct effects on

immunological pathways or secondary effects such as through alterations in blood

serotonin, glutathione, or transsulfuration. Fever has been shown to have a modifying

effect on behaviors in autism, and acetaminophen is widely used to treat childhood fever

as well as symptoms associated with childhood infections and childhood vaccines.

Acetaminophen use has been shown to be associated with autism in a preliminary study.

cl

It is proposed that widespread use of acetaminophen in late pregnancy or early

childhood may significantly alter subtle immune processes, through direct or indirect

mechanisms, increasing the risk for autism.cli

Most importantly, acetaminophen use in the first year of life has been strongly

associated with a later increased risk of asthma, and related phenotypes of asthma58.

This association was recently found to have a dose dependent risk of childhood asthma,

rhinoconjuctivitis, and ezcema in children aged 6-7 years, in a large multinational

study.clii


86

Moreover, increased risk of asthma due to acetaminophen use in late pregnancy has

also been shown.cliii

Importantly, acetaminophen use after MMR vaccination has recently been associated

with autism in a small case controlled study.cliv

Moreover, acetaminophen affects glutathione levels as well as pathways involved in

transsulfuration. Glutathione metabolism is fundamental to many biological processes

and alterations in glutathione homeostasis are implicated in numerous human diseases

including immune and inflammatory disorders.clv

Acetaminophen has been used as an analgesic for more than a hundred years, but its

mechanism of action has remained elusive. Recently, it has been shown that

acetaminophen produces analgesia by the activation of the brain endocannabinoid

receptor CB1 through its para-aminophenol (p-aminophenol) metabolite. The objective of

this study was to determine whether p-aminophenol could be toxic for in vitro developing

mouse cortical neurons as a first step in establishing a link between acetaminophen use

and neuronal apoptosis. We exposed developing mouse cortical neurons to various

concentrations of drugs for 24 hr in vitro. Acetaminophen itself was not toxic to

developing mouse cortical neurons at therapeutic concentrations of 10–250 lg ⁄ ml.

However, concentrations of p-aminophenol from 1 to 100 lg ⁄ ml produced significant (p <

0.05) loss of mouse cortical neuron viability at 24 hr compared to the controls.clvi

We have previously found that acetaminophen use at age 12–18 months increased the

odds of autism in our sample by more than eight times, and by more than 20 times when

considering only children who experienced normal development followed by a regression

in development.clvii

It appears that the marked increase in the rate of autism, asthma, and attention de cit

with hyperactivity throughout much of the world may be largely caused by the marked

increase in the use of acetaminophen in genetically and/or metabolically susceptible

children, and the use of acetaminophen by pregnant women.clviii


87

The wide range of factors associated with the induction of autism is invariably linked with

either inflammation or oxidative stress. “The use of acetaminophen in babies and young

children may be much more strongly associated with autism than its use during

pregnancy, perhaps because of well-known deficiencies in the metabolic breakdown of

pharmaceuticals during early development. Thus, one explanation for the increased

prevalence of autism is that increased exposure to acetaminophen, exacerbated by

inflammation and oxidative stress, is neurotoxic in babies and small children. This view

mandates extreme urgency in probing the long-term effects of acetaminophen use in

babies and the possibility that many cases of infantile autism may actually be induced by

acetaminophen exposure shortly after birth.”clix

Acetaminophen use after measles-mumps-rubella vaccination was significantly

associated with autistic disorder when considering children 5 years of age or less (OR

6.11) and when considering only children who had post-vaccination sequelae (OR 8.23).

Children who used acetaminophen at age 12 to 18 months were more than eight times

as likely to be in the autism disorder group when all children were considered.clx

A double-blind, placebo-controlled trial was conducted to study the effects of over-the-

counter analgesic/antipyretic medications on virus shedding, immune response, and

clinical status in the common cold. Use of aspirin and acetaminophen was associated

with suppression of serum neutralizing antibody response (P < .05 vs. placebo) and

increased nasal symptoms and signs (P< .05 vs. placebo). A concomitant rise in

circulating monocytes suggested that the suppression of antibody response may be

mediated through drug effects on monocytes and/or mononuclear phagocytes, There

were no significant differences in viral shedding among the four groups, but a trend

toward longer duration of virus shedding was observed in the aspirin and acetaminophen

groups. In our present study, aspirin and acetaminophen were significantly associated

with suppression of the serum neutralizing antibody response to the study challenge

virus, RV2. If widely used over-the-counter medications significantly suppress immune

function, there may be a real risk of increasing the severity of infection. there was

evidence in our study that aspirin and acetaminophen might adversely influence clinical

status. These two drugs were associated with increased turbinate edema and nasal

obstruction in comparison with placebo. Aspirin, acetaminophen, and ibuprofen did not

significantly increase virus shedding in comparison with placebo, but as shown in table


88

2, duration ofshedding in the aspirin and acetaminophen groups tended to be slightly

longer (P = .34). Duration of shedding was also associated with an attenuated antibody

response (P = .038). The rise in the number of circulating monocytes in the three active

treatment groups contrasted with a fall in the placebo group. the higher levels of

circulating monocytes were significantly related to suppressed antibody response and

the absence of cervical adenitis.clxi

The present results of both histological and immunohistochemical examinations on the

CNS of mice were consistent with those of our previous reports in which the virus

invaded the brain stem after replicating in the respiratory mucosa

On the other hand, in chicks, antipyretic treatments before and after inoculation of the

influenza virus definitely enhanced the neuropathogenicity of the virus. The chicks

inoculated with the virus without antipyretic treatment developed no lesions and showed

no antigen in the CNS. DFS enhanced the neuropathogenicity more than did ASA.clxii

Statistically, the analysis between NSAIDs use and mortality risk was powered to

demonstrate a 2-fold risk among adults and a 4-fold risk among children at a 95%

confidence level. Second, we were not able to analyze encephalopathy mortality, as

there were only 14 pediatric encephalitis cases; perhaps the association of NSAIDs with

mortality in the setting of influenza is specific to encephalopathy mortality.clxiii

Most substances used in over-the-counter pain killer and anti-inflammatory which would

be commonly used during fever have mutagenic properties.clxiv,clxv

Reports of severe acute encephalitis/encephalopathy during influenza seasons have

recently increased in Japan.

The1997 to 2001 influenza A epidemics in Japan were markedly neurovirulent, and

many children died of influenza-associated encephalitis/encephalopathy We studied 20

patients with influenza-associated encephalitis/encephalopathy during the last four

influenza seasons.

Nopatientshadbeenpreviouslyinoculatedwithinfluenzavaccine.Antipyreticswere used in

16 patients before the onset of encephalopathy. Although all patients were treated

intensively, 5 patients died and 8 had neurologic sequelae.clxvi


89

Despite intensive care including resuscitation and assisted ventilation, 5 patients died, 8

had residual neurologic sequelae, and the other 7 recovered completely.

Of the 8 patients who had neurologic sequelae, two became bedridden, 6 had epilepsy,

and all had mental retardation. Of the 5 patients who died, 3 died after a rapid, fulminant

course (5, 6, and 44 hours from the onset of neurologic symptoms, respectively), and the

other 2 died after being in a chronic brain death state for 2 and 6months, respectively. All

5 deceased patients had hepatic dysfunction and disseminated intravascular

coagulation. With regard to the use of antipyretics, all 5 deceased patients were given

antipyretics, 3 having taken diclofenac sodium, 1 sulpyrine and acetaminophen, and the

other acetaminophen and mefenamic acid. Among the deceased patients, none had

received acetaminophen only. Six of the 8 patients with residual neurologic sequelae

had taken antipyretics (ie, 2 diclofenac sodium and 4 acetaminophen). Five of the 7

patients who fully recovered had taken antipyretics (ie, 3 diclofenac sodium and 2

acetaminophen).

All five who died and 6 of the eight who had neurological sequelae had been treated with

antipyretics. The authors concluded, “Although the precise relationship between the use

of antipyretics and the severity of encephalopathy remains unknown, we must pay

attention when using antipyretics during an influenza season. … the use of the

antipyretics should be reconsidered, as in the cases of Reye’s syndrome and aspirin.

This might be one of the reasons why influenza-associated encephalitis/encephalopathy

occurs mainly in Japan.”clxvii

The genius epidemicus

This term “genius epidemicus” is used to identify the peculiar characteristic manifestation

of an epidemic disease, which tends to be related to local circumstances, such as the

season, the weather, (telluric activities, electric, magnetic, astrologic influences?), the

type of persons being affected, etc., but most importantly, it is the value of this concept

in homeopathy, which is related to the fact that most cases in a specific epidemic in a

particular locality will be cured by one or a few remedies.

History of the term “genius epidemicus”

Let’s us begin with a bit of history of this term.


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First, there are two spellings for the same idea, namely, genius and genus epidemicus.

The genius is a bit common in the homeopathic literature (53% vs 47%). Genius is

almost uniquely used by medical historians

Hering seems to have introduced the term “genus” into homeopathy, which he used in

1860, but in 1872 he did an extensive study of the concept and then used instead the

term genius. However, many who followed Hering after 1860 used also the term “genus,”

including McNeil, Eaton, etc., and the HANP, but Lippe and Dunham used genius.

Genus denotes the genera or group in the classification system of plants or animals.

While genius denoted more the very essence, innate nature, identity or prevailing

character of an epidemic.

Perhaps we should look at history for guiding us on which term to use.

The concept of genius epidemicus originated with Hippocrates (books of epidemics) and

was taken up again by Paracelsus (1493-1541) who pointed out to the need to find the

specific remedy for each epidemic. He wrote, “If you cannot find the specific remedy for

every epidemic, all your endeavor to cure is in vain.”

About 150 years later comes Thomas Sydenham (1624-1689), also known as the

English Hippocrates, who revived the concept and has since remained alive in the

homeopathic practice.

“Sydenham had already established the fact that disease, in a succession of years show

a certain change, which appeared to him as though governed by some law. He ascribed

to each year, or other period of time, its special constitution, or genius epidemicus; and

in this term he included even the etiogical factor by which diseases are produced, and

this in turn to give way to others when a new genius had developed. He showed that a

given disease presented a different character in different years, and would be

accompanied by variable phenomena and dangers.”


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Hahnemann described the concept clearly in his writings without using the expression

genius epidemicus. However, Aegidi related a conversation he had with Hahnemann

when he was visiting him in 1831, in which Hahnemann used the term genius

epidemicus (see lower).

Underlying the practical concept of the genius epidemicus is the working hypothesis that

the same cause must be followed by like effects, unless there are other stronger

influences at play such “psora.”

Actually this concept applies to a practice you already know, which is the almost specific

remedy for very specific etiology:

For instance, if we look at the effect of trauma: Arnica

But also there could be another Bellis perrennis, Hypericum, Ruta, Symphytum, Conium,

Helleborus, and many, many other

If we look at the chronic effect of trauma now we have a large number of remedies,

depending of the part of the body affected or tissues, i.e., bone, ligaments, glands, eye,

etc.

For the pain of surgical incisions, we know very well the specific indication for

Hypericum, but occasionally we will see other remedies such as Staphysagria,

particularly in C-section.

For acute grief, Ignatia until proven otherwise, is the specific remedy by there could be

other such as Kali phosphoricum, Phosphoric acid, Conium, Gelsemium, etc.

Let’s come back to Hahnemann:

In his 1828 Chronic Diseases, Hahnemann says that psora with its innumerable

symptoms should be treated as one disease similarly as if it was an epidemic diseases.

He then refer to the 1813 typhus epidemic that was raging in Leipzig that was brought by

Napoleon’s army that was retreating,


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“Thus in the year 1813 one patient would be prostrated with only a few symptoms of this

plague, a second patient showed only a few but different ailments, while a third, fourth,

etc., would complain of still other ailments belonging to this epidemic disease, while they

were, nevertheless, all sick with one and the same pestilential fever, and the entire and

complete image of the typhus fever reigning at the time could only be obtained by

gathering together the symptoms of all, or at least of many of these patients. Then the

one or two remedies, found to be homeopathic, healed the whole epidemic, and

therefore showed themselves specifically helpful with every patient, though the one

might be suffering from symptoms differing from those of others, and almost all seemed

to be suffering from different diseases.”

The concept is similar to a proving, you need many provers to obtain the full picture of a

remedy, and you need many sick person during an epidemic to obtain fuller picture of

the epidemic disease.

He described the same process in paragraph 101, 241 and 73 in the Organon, but still

without using the term genius epidemicus:

Paragraph 101:

“Usually the physician does not immediately perceive the complete picture of the

epidemic in the first case that he treats, since each collective disease reveals itself in the

totality of its signs and symptoms only after several cases have been closely observed.

Nevertheless, an observant physician can often only come so close after seeing only

one or two patients that he becomes aware of the characteristic picture of the epidemic

and can already find its appropriate homeopathlc remedy.” (same paragraph in all six

editions of the Organon)

Again in paragraph 241:

“Each individual epidemic has its own consistent nature common to all individuals

affected. If this is established from the totality of symptoms common to all the patients, it

reveals the right homeopathic remedy, the one specific to the epidemic; this remedy

almost always helps patients who were fairly healthy before the epidemic and not

chronically sick with developed psora.” (5th and 6th edition of the Organon)


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In paragraph 73, he wrote, “Then there are sporadic acute diseases, which affect a few

individuals at a time here and there, acute diseases brought on by harmful

meteorological or telluric influences to which only a few people are susceptible at any

one time. Bordering on these are the epidemic diseases, in which many individuals are

affected very similarly from a similar cause. In crowded areas they tend to become

contagious. These epidemics cause fevers, each with its own characteristics;a and

because each case of disease in the same epidemic has the same origin, those affected

manifest a similar disease process, which, left to itself, ends either in death or in

recovery within a limited time. War, floods, and famine are often the exciting causes or

the breeders of such diseases. (fourth, fifth and sixth edition of the Organon).

In 1831, when Aegidi visited Hahnemann who told him: “You will have to treat a number

of cases of intermittent fever on the Rhine; please observe whether there also as it does

here, Natrum muriaticum corresponds to the epidemic constitution and let me know it. If

we regard the genius epidemicus we accomplish more quickly and with less trouble the

desired end, even in acute diseases, which usually are only efflorescentia of the three

chronic ailments."

Aegidi found it so after returning home, he found the epidemical remedy for intermittent

fevers was at that time Natrum muriatcum and he cured almost every case with it.

In one case, however, the paroxysms came back again, although Natrum muriaticum

had relieved for a while. Hahnemann, being consulted, advised Carbo vegetabilis 30,

because this remedy had corresponded to the last year's epidemic constitution, and the

relapses in this case might be considered merely as a continuation of the same. It cured

at once. In another case where the intermittent paroxysms, one every eight days, had

continued for two and a half years, with swelling of spleen and liver, inflammation and

edema of the lower extremities, Hahnemann advised Cantharis 30, because two and a

half years ago this remedy had been very efficient against the epidemic constitution

which prevailed then; and also, because Cantharis has the eight day type of the

paroxysms. Cantharis 30 broke the paroxysms; the remaining difficulties were cured by

other remedies. (****Annual Record of Homoeopathic Literature 1873: 283)


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(Dr. Stuler, in Berlin, collected likewise observations on the effects of Sepia and Spigelia

as epidemic remedies, and all this was done ten years before Rademacher's

"Erfahrungs Heillehre" was published. (****Annual Record of Homoeopathic Literature

1873: 283)

The same year of Aegidi’s visit in 1831, Hahnemann predicted three remedies for the

different stages of cholera, namely, Canphora, Veratrum album and Cuprum metallicum

and he it was confirmed. However, in later epidemics in other localities, the genius

epidemicus would change, sometime to Arsenicum album, Sulphur, etc.

The concept of the genius epidemicus was greatly illustrated, perhaps the most by

Rademaker, the contemporary of Hahnemann and avid follower of Paracelsus who gave

multiple examples of certain epidemic and the remedy that would cure most of the

patients that single year or so.

See Rademaker p. 5-7 and the table of contents.

In later years some prominent authors and physicians advanced the idea that even

chronic diseases of the mind were curable in the same manner, i.e., the epidemical

remedy for that period, when the person contracted the disease of the mind, will remain

to be curative for the case, even if administered years afterwards. (Medical Era 1887-5:

361)

The genius epidemicus is in apparent conflict within the homeopathic methodology of

strict individualization, which is the fundamental key to success in homeopathy, but in

epidemics we can try to individualize the collective disease rather than every single case

affected by the epidemic disease. The selection of the remedy must be from the totality

of the epidemic symptoms, and not from one individual epidemical case.

How shall we proceed to discover the genius epidemicus:

As always through the law of similars.

The German homeopath Wilhelm Stems (in Die Therapie unserer Zeit (Therapy of our

Time) (1854)) pointed out “clearly and distinctly the process necessary to recognize the


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genius epidemicus, and also to discover the specific curative remedy. He wrote, “In

every epidemic procure as many cases as possible, analyze and compare all the

symptoms and unite them to one grand picture of the disease. After having completed

the disease-picture, take your materia medica, and from the symptomatology of the

remedies select that one bearing the closest resemblance to the disease-picture, and

being a close observer of diseases and a good student of materia medica, your selected

remedy will not disappoint you, and will prove to be the epidemical specific remedy.”

Lippe pointed out that the symptoms to pay more attention are the unusual ones for such

a diseases: “If we look for a remedy to cure a new epidemic, or rather for the remedy

which may prove itself the most curative at the time, it is well to group then such

symptoms as are characteristic of this epidemic; and these groups consist, generally,

again in symptoms not always present in other epidemics of the same disease. We

hereby individualize this epidemic from other ones, and do for the epidemic in general

what we again must do in every individual case of it when this new differing group of

symptoms is not present.”

Warnings

1- Hahnemann warmed his colleagues of the danger of routine practice regarding

the genius epidemicus: "The true physician will be careful to avoid making favorites of

certain remedies that he has happened to have found indicated rather often and has had

the opportunity of employing with good results. Otherwise, less frequently used remedies

that might be more homeopathically suitable and therefore more helpful will often be

overlooked.” (Par. 257)

2- Beware that other remedies might appear to be better indicated in a minority of

cases, therefore the rule of strict individualization. When the remedies fail to

bring favorable results you should start to assemble your cases together. An

example of this was occurrence was reported by Boenninghausen:

"The most remarkable phenomenon of this kind was without doubt that of the second

half of the wet year 1860, when most of the acute and many of the chronic diseases

indicated Lachesis or Apis mellifica, in fact by both of these animal poisons (in the


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smallest dose) the most surprising cures were made. At first we were guided by the

external appearance of the different eruptions on the skin, and the peculiar sensations of

the suffering parts which characterize these drugs; but we afterwards, repeatedly

observed even when other remedies appeared more suitable, yet these two drugs

manifested the most remarkable and permanent curative powers. Although similar

occurrences are not rare, yet in our experience of many years they were never so clear

nor continued so long as in the above mentioned period." (Aphorism 169)

Beware that it is not always easy to find one remedy for an entire epidemic and

especially during a pandemic, especially at the beginning of an epidemic. Dr. E. A.

Farrington of Philadelphia related two such examples.

Two examples

The first one: Some twenty-five years ago there appeared an epidemic of scarlet fever,

in the course of which nearly every case that was not promptly cured in the beginning

died. The percentage of losses under homœopathic as well as under other systems of

treatment was truly frightful. The reason for this was that we had no remedy which

covered the symptoms of the epidemic. In a poor family, living in a small street, there

were five children sick with this epidemic form of scarlatina. The physician who was

called to attend them had lost so many cases under the usual remedies that he thought

it useless to have recourse to these. He thought it better to try something new. Arum

triphyllum had only been experimented with to a certain degree, but still it had been

known to produce certain symptoms which led him to the selection of the drug, which he

administered in a low potency. All the cases recovered. It was afterward prescribed in

other cases during the same epidemic, with marked success. From that time to this,

Arum triphyllum has been looked upon as a valuable drug in as the treatment of

diphtheria, malignant forms of scarlet fever, and also other fevers having a typhoid form.

The second one: Some years ago there was an epidemic of spotted fever [meningitis] in

this city. During that epidemic many children died, especially in its earlier days. After a

while there was discovered a symptom characteristic of the epidemic, and that was

intense headache in the occipital region, in the lower part of the back of the head, and in

the nape of the neck. The intense headache was manifested in various ways. Children in

a stupor would manifest it by turning the head back, so as to relieve the tension on the


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membranes of the brain; others, who were conscious, would put their hands to the back

of the head, while still others complained of pain in the back of the head, as if the part

were alternately opening and closing. That symptom was under Cocculus. There were

very few fatal cases after Cocculus was used.

Also the genius epidemicus tends to change from climatic area to another, from the

seashore to the mountains.

Beware it has happened that the genius epidemicus of one epidemic may be the same

as the one of another epidemic occurring during the same season. (i.e., influenza

associated with great headache and vomiting bile and another epidemic associated

abdominal cramps and involuntary diarrhea).

For instance, Hering reported,

Paracelsus “narrates that once, while treating a patient with ulcers on the lower

extremities, a malignant dysentery broke out and attacked many persons. During this

time his noble patient was probably neglected, as people call it, when the physician

performs his duties there, where the most danger calls upon his time and strength.

When Hohenheim had found the remedy characteristic of this dysentery, and again

returned to his patient with the ulcers, he perceived that the discharge from these ulcers

was remarkably similar in color, quality and smell to the evacuations of his dysenteric

patients, which he had cured. He therefore prescribed the same remedy for the ulcer

and with the same good effect.” (Hering)

Also McNeil wrote in 1889:

“Whooping-cough broke out in my own field of labor. With Gelsemium in less than a

week all traces of the disease were removed. By prescribing for the pertussis alone I

could not have selected that remedy, for its symptoms of cough, etc., have not been

sufficiently developed, but at that time Gelsemium was the epidemic remedy, curing all

the diseases, arising from atmospheric causes.”

“Permit me to mention the names of those diseases in which the epidemic remedy has

served me. I have already mentioned the epidemic diseases and intermittents, but to


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particularize; scarlet fever, measles [despite the fact that Hahnemann considered as

fixed epidemic disease] , diphtheria, whooping-cough, erysipelas, typhoid, remittents and

intermittents, rheumatism, colic, uterine hemorrhages, pneumonia, bronchitis, coryza,

complaints of dentition, diarrhea, entero-colitis, cholera infantum, cholera morbus,.

chlorosis, croup, and gonorrhea.

“The two latter, previous to my observance of the epidemic remedy, were the cause of

much anxiety and disappointment, for I felt that it was only exceptionally that my

prescriptions cured. But, now I treat, them with cheerful confidence, the result of long

continued success.”

Eaton wrote, “The observation of the similarity of remedies indicated in different cases of

an epidemic of any given disease is interesting and valuable; but it is of more importance

to observe the similarity existing between the indications for remedies in cases of

different diseases occurring during any given season. Thus a remedy which is found

frequently indicated in cases of pneumonia may quite likely be required in cases of

typhoid fever, or of meningitis, or of influenza, or even of gastritis occurring at the same

time. A recognition of this fact leads one a long way toward a true insight into the art of

prescribing homeopathically, and away from the deadly routine of prescribing for the

name of the disease. It suggests the phrase "diagnosis of the remedy,,, in

contradistinction to diagnosis of the disease.”

Beware that the genius epidemicus can be different within a same town, i.e., a genius for

the residence along the river and another genius for the ones on the hill.

Beware that the genius epidemicus may change in the same locality within an epidemic.

Beware that the genius epidimicus may be different for the different stages of an

epidemic in the same locality, i.e., with cholera, Camphora for the first stage, Cuprum

metallicum for the second stage and finally Veratrum album for the collapse state.

Great advantages of knowing the genius epidemicus

1- Better results cure (in the same locality) in patients in the early or later stage of the

disease, especially for newcomers to homeopathy


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2- Quickness of cure

3- Greater odds of successful prophylaxis for the ones not yet affected.

My experience on this subject is greatly limited, as my patients are spread over five

continents and I don’t treat a substantial number of people in any single locality.

The most commonly prescribed flu remedies

Flu remedies Petrie E. Hoyne

(I) Gelsemium sempervirens

(2). Eupatorium perfoliatum

(3). Bryonia alba

(4) Arsenicum album

(5) Veratrum viride

(6) Rhus toxicodendron

(7) Euphrasia

(8) Allium cepa

(9) Baptisia

Templeton

In our 100 cases, the following were the drugs used:

Gelsemium........ In 36 Cases.

Bryonia........,, 15,,

Sulphur........,, 10,,

Rhus tox.........., 7,,

Eupatorium......,, 7,,

Carbo veg........,, 2,,

Pyrogen........,, 2,,

Kali carb.........,, 2,,

Ars. alb.........,, 2,,

Phytolacca........,, 2,,

Belladonna........,, 5,,

and Lach., Phos., Terebinth, Nat. mur., Nat. sulph., Nux vom., Nit. ac., Baptisia, Kali nit.

and China in one case each.


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Materia medica

The notes on materia medica are provided for the ones who don’t own materia medica

or repertories. With these notes you should be able to find the correct remedies in 80-

90% plus of the influenza and pneumonia cases. These notes are not made to be

extensive. They are my notes taken out from ReferenceWorks or from my own

experience. It is possible that I may have failed to indicate at times that some of the

notes came from other authors, as these notes we were put together very quickly.

You can quickly differentiate the most known remedies through some of the keynotes:

For instance:

Thirsty remedies

Phos., Bry., Eup-per., Ars., Camph.

Phos.: Thirsty for large quantities of ice cold water. You should not prescribe Phos. if the

patient likes warm or hot drinks, and even room temperature drinks tends to be

distasteful.

Bry.: Can have a large thirst for cold or warm and even hot drinks, but may not drink

often because of the effort and motion required to drink.

Eup-per.: Very thirsty before and during chill and fever.

Ars.: Thirsty for cold but typically more for warm drinks and in small sips.

Camphora: Insatiable burning thirst, not quenched by incredible quantities of cold water.

Desire to drink without feeling thirsty.

Thirstless remedies

Gels, Ant-t., Puls.

Gelsemium is typically thirstless during all the phases of the flu. Certainly don’t prescribe

Gels. if the patient is thirstier than usual. Typically the patient has a dry mouth without

thirst.


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Antimonium tartaricum: flat or bitter taste in the mouth without appetite and thirst, coated

tongue, loss of taste and smell.

Pulsatilla: dry mouth without thirst in all stages. Loss of taste and smell.

Loss of smell and taste with influenza

Am-m., Ant-t., Bry., Mag-m., Puls. Sang.

SMELL; WANTING, lost; influenza, with (6) : am-m., ant-t., bry., mag-m., puls., sang.

SMELL; WANTING, lost; taste, with loss of (11) : amyg-p., ant-t., bry., flor-p., hyos., just.,

mag-m., nat-m., 2puls., rhod., sang.

TASTE; WANTING; loss of taste; influenza, with (6) : am-m., ant-t., bry., mag-m., puls.,

sang.

Great prostration

Gels.

Ars.

Bry.

Lobelia purpurescens

Camph.

Eup-per.: especially old people

Phos.

Sarcol-ac.

Locatity, origin and direction of the chills

Gelsemium: Chills up and down the back. Can extend from hands and feet.

Eupatorium perfoliatum: Chills up and down the back.

Bryonia: Can extend from the tips of fingers and toes.

Temperature of the room


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Arsenicum album: the warmer the better, i.e., 25˚C (77˚F) and above. Can’t tolerate air

draft (Nux-v.). Overdresses. Difficulty warming up.

Camphora: The patient is cold (subjectively and objectively) and desires warmth, but

prefers to be uncovered. The patient objects to being covered, notwithstanding the

objective coldness; throws off all the covering.

Pulsatilla: Des open fresh air, worse warm room, above 21˚C (70˚F); they prefer the

room to be 68 or 20C or less..

Appearance

Ars.: Anxious face

Bryonia : The typical Bryonia influenza develops, like the Gelsemium case, over a period

of six to twelve hours. And the appearance of Bryonia patients is not unlike that of

Gelsemium patients. They give the impression of being rather dull, heavy, slightly

congested, with a rather puffy face.

Camphora: The blood seems to have receded from the surface, especially the

extremities.

Although they are definitely heavy—looking, they do not have the sleepy appearance

that you find in Gelsemium, nor yet the besotted look of the Baptisia patient—something

between the two.

Disposition

Ars.: Anxious restlessness. Fear of death and of being alone.

Puls.: Sad and weepy.

Bry.: Wants to be perfectly quiet. He wants to lie down and keep perfectly still, both

physically and mentally. Any thing that will disturb makes him very irritable.

Phos.: Desires company and sympathy.

Camph.: Thinks he is going to die. Great anxiety to general apathy.


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Gelsemium: dull, sleepy, heavy and do not want to be disturbed.

Lobelia inflata: They want to be left quiet, they do not want to be disturbed. They want to

keep as still as they possibly can, and any movement, any exertion, very much

increases their sense of respiratory embarrassment, and also the nausea.

Remedies for long lasting weakness after the flu-like illness:

GENERALITIES; WEAKNESS, enervation, exhaustion, prostration, infirmity; influenza,

after (26) : 2abrot.8, adon.102, 2ars-i.102, 2ars-s-r.908, 2aven.102, bac.62, carb-ac.102,

2chin.102, 2chin-ar.102, 3Con.908, cypr.85, eup-per.102, gels.102, 2iber.102, 2kali-

p.908, lac-c.102, lath.102, lob-p.102, macroz.102, 3Nat-sal.72, 2phos.908, psor.102,

sal-ac.102, sarcol-ac.102, 3Scut.908, zinc-o.102

GENERALITIES; CONVALESCENCE, ailments during; influenza, after (11) : alum.908,

2ars-s-r.908, asar.85, 2cadm-s.143, 2carb-v.8, 3Con.908, ferr-p.908, kali-p.908, lob-

e.908, 2quas.908, 3Scut.908

Motion:

Both Gels and Bry. Dislike moving, the first one because of lack of energy and apathy,

and the second one because movement aggravates.

Rhus tox. needs to move or change position, but the first movement or change of

position aggravates and then the continued movement or after having changed postion

ameliorates.

Eup-per is very restless, despite being very prostrated; can’t keep still and despite a

great desire to move and is not better from motion. Deep hard achings as if in the bones,

with sore, bruised feeling all over, back, arms, wrists, legs. Intense aching in the limbs

and back as if the bones were broken.

Very restless, cannot keep still, although there is great desire to do so.

Ars. Is very restless from an inner state of anxiety, but the restlessness is present

despite great weakness. Motion doesn’t help.


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Adaxukah: Has the aversion to move because of weakness like Gels., but is better from

movement.

Onset

Acon.: Sudden onset

Bell.: Sudden onset

Ferr-p.: Sudden onset

Bryonia type of illness which develops over 12-24 hours or longer.

Gelsemium: Slow and progressive onset.

The better indicated flu remedies for the current COVID-19

Bryonia

In the pandemic influenza of 1918 to 1920 many lives were saved by Bryonia. The Old

School methods of treatment were utterly futile, for in many cases the infection in the

nose and throat spread so rapidly to the chest, that a bronchopneumonia developed

before the physician realized it. Aconite, Belladonna or Ferrum phos. may have been

indicated in the beginning, but Bryonia was often the remedy when the disease acted in

this manner.

The cough at first is dry and racking and may seem to the patient as if coming from the

stomach. With every paroxysm he involuntarily hold his head or supports the chest with

his hands, for pressure relieves. He feels as though he must expand the lungs, but every

attempt to do so is attended with sharp stitching pains. Whenever he comes heated or

enters a warm room, the cough is renewed. He cannot eat a meal in peace for he begins

to cough after the first few mouthfuls of food. He is sure to have a paroxysm after rising

from the table. These symptoms are excellent indications for Bryonia in whooping cough.

The paroxysms are followed by vomiting of food and then of bile.

Bryonia is indicated in pneumonia after exudation has taken place. The typical chill of

Bryonia is associated with internal heat and redness of the face. Respiration is short,

quick and labored from a sense of weight in the sternum or constrictive feeling in the

epigastrium; but chiefly owing to the agonizing stabbing and stitching pains in the pleura

with every respiration. The intellect is dulled; the face red and bloated as in typhoid fever


105

and wears an expression of anxiety. The skin is bathed in sweat, the mouth and throat

dry and parched. Usually there is some heaviness or soreness and stitching in the

region of the liver; later there may be jaundice. Expectoration at first scanty and perhaps

blood streaked, later assumes a rust color. The patient at times wants to be propped up

in bed, for it relieves the cough and dyspnea; but more often he lies on the affected side

to ease the pains in the involved area which is usually in the right lung. H. Farrington.

Bryonia (Influenza ) is a common remedy for influenza. You expect to see a sleepy,

heavy, lethargic patient with a flushed contused face, who dislikes being disturbed; a

thickly coated tongue, is thirsty for large drinks of cold water at rate intervals. Has

backache, headache, eyeache, aching limbs, is worse from movement, so he lies still

and does not move. There is profuse perspiration; he feels under the weather for several

days before the disease fully develops. The pace of the complaint is slow. Shepherd

Bryonia patients are also definitely dull and do not want to be disturbed—but if they are

disturbed they are irritable. Irritability is always cropping up in Bryonia patients. They do

not want to speak, and do not want to be spoken to. They do not want to answer

because speaking annoys them, not because they are too tired to do so.

As a rule, Bryonia influenzas are very depressed; they are despondent and not a little

anxious as to what is happening to them they feel they are ill and are worried about their

condition.

To their worry about their impending illness they add a very definite anxiety about their

business. They talk about it; if they become more toxic, they are apt to dream about it,

and it is an underlying thought in the back of their minds throughout their illness.

It is also typical of Bryonia influenzas that the patients are difficult to please. They are

very liable to ask for something and refuse it when it comes. They want a drink and,

when it comes, do not want it. Or, they may ask for a fruit juice drink and, when that

comes, say they would much rather have had a drink of plain cold water—they are very

difficult to satisfy.


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Typically, they have a good deal of generalised, aching pain. They will tell you that it

hurts them to move, and yet, very often. Bryonia patients are constantly on the move.

They are restless and uncomfortable, and move about in spite of the fact that the

movement increases their pain.

Get hold of this fact very clearly, because it is so definitely laid down in text—books that

Bryonia patients are aggravated by motion. Apparently it does hurt them, but they get

into this restless state when they will not keep still.

When the patients are restless, find out whether it eases them or not. If it does not, they

are probably Bryonia cases. If it does ease them, consider one of the other drugs—

possibly Baptisia or one of the restless drugs, such as Rhus tox. It is a point that needs

early clarification.

Bryonia patients feel hot, and are uncomfortable in a hot stuffy atmosphere; they like

cool air about them. This can be linked with their thirst. They are always thirsty, and their

desire is for cold drinks—large quantities of cold water—though, as mentioned above,

they may ask for cold, sour things and then refuse them when they are brought.

As a rule, Bryonia patients are sensitive to a hot room, you occasionally find a Bryonia

influenza with definite rheumatic pains—one or other joint becoming very painful—and

who claims that the joint is relieved by hot applications. This is a local contradiction to

the general heat aggravation.

There are one or two points which help in differentiation, in connection with local

conditions.

There is a very typical Bryonia tongue. It is usually a thickly coated white tongue. The

white coating is liable to become dirty in appearance, and may become brown if the

disease condition has lasted long, particularly if there is much respiratory

embarrassment and the patient is breathing through the mouth.

With that dry tongue, the patients complain, not unexpectedly, of an unpleasant taste in

their mouths, very often of a bitter taste, accompanied by fairly intense thirst. As a rule,


107

these patients have rather swollen, puffy, dry lips which tend to crack and may bleed

very easily.

In the typical Bryonia throat there is the same sensation of extreme dryness, heat and

burning. On examination, the tonsillar region and the back of the throat are usually found

to be pretty deeply congested; the tonsils are liable to have small, usually white, spots.

The throat also is unduly painful on swallowing, which is, of course, the ordinary Bryonia

aggravation from movement.

All Bryonia influenzas have very intense headaches. Usually, the headache is intense,

congestive and throbbing; the most common situation for it is in the forehead.

Patients often say they feel as if they have a lump in their foreheads, which is settling

right down over their eyes. The pain modality of the headache is that it is very much

relieved by pressure firm pressure against the painful forehead, which affords great relief

to the Bryonia headache.

As one would expect, the headache is very much worse from any exertion—talking,

stooping or movement of any kind. It is worse if the patient is lying with the head low; the

most comfortable position is semi—sitting up in bed, just half-propped up.

Definite neuralgic headaches are found sometimes in Bryonia influenzas: general

neuralgic pains about the head, with extreme sensitiveness to touch. The whole surface

of the scalp seems to be irritated; and it may spread down into the face, on to the malar

bones, again with extreme hyperaesthesia.

All Bryonia influenzas tend to more or less congestion of the eyes, which may go on to a

definite conjunctivitis. The eyeballs themselves are sensitive to pressure; patients

sometimes say that it hurts even to screw their eyes up—not an uncommon influenzal

symptom.

As a rule, Bryonia patients do not have a very profuse nasal discharge. More commonly,

they complain of feelings of intense burning and heat in the nose, or of fullness and

congestion.


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There is liable to be a very early extension of the catarrhal condition into the larynx with

a very irritating, tickling, burning sensation and very definite hoarseness—sometimes

actual loss of voice. Also a feeling of rawness, and a very suffocative tight sensation

rather lower than the larynx, with a very irritating, bursting, explosive cough.

I have not observed much tendency to acute ear involvement in Bryonia cases. There is

much more a feeling of blockage and stuffing—up of the ears, possibly a certain dullness

of hearing, but little more than that.

Bryonia influenzas do not show any very marked tendency to extend into the digestive

tract. There are, of course, Bryonia abdominal symptoms in other conditions, but I have

never seen Bryonia indicated in an influenza with definite abdominal symptoms.

There is nearly always troublesome constipation, and a definite lack of appetite which,

considering the state of the Bryonia mouth, is not surprising. There may be a certain

amount of general abdominal discomfort, a feeling of heaviness—almost of solidity in the

epigastrium.

The patients do not want any food and, if pressed to eat, are very often more

uncomfortable after it. But as a rule, I have not seen acute gastric disturbances

associated with Bryonia influenzas. They are much more likely to have a chest

disturbance, even a definite pneumonic attack, than a gastric attacks.

Of course, if the patient does have a pneumonic attacks, it will be the typical Bryonia

pneumonia, with violent stabbing pains in the chest, a feeling of acute oppression,

extreme pain on coughing, pain in the chest on movement with the desire to keep it as

still as possible. But this is rather going beyond the uncomplicated influenzas. Borland

Bryonia (Influenza ) is a common remedy for influenza. You expect to see a sleepy,

heavy, lethargic patient with a flushed contused face, who dislikes being disturbed; a

thickly coated tongue, is thirsty for large drinks of cold water at rate intervals. Has

backache, headache, eyeache, aching limbs, is worse from movement, so he lies still


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and does not move. There is profuse perspiration; he feels under the weather for several

days before the disease fully develops. The pace of the complaint is slow. Shepherd

A dry, hacking cough, single spasmodic forcible shocks towards upper part of trachea,

which seems to be covered with dry, tough mucus. Hering

Beryllium metallicum

In fibrosis of the lung, Beryllium should be thought of in all respiratory conditions with

dyspnea on slight exertion, often out of proportion to the auscultatory findings, especially

in virus pneumonias.

Tracheobronchitis; cough, rales both lungs, non-productive except for occasional blood-

stained mucus. Mild dyspnea. Rales fine first, then coarse, vital capacity is reduced, low

grade fever.

Cough with occasional blood stained sputum, substernal burning pain, dyspnea on

exertion, cyanosis, anorexia, rapid pulse, no temp., reduced vital capacity, rales fine to

coarse all over both lungs.

X-rays: diffuse, haziness, irregular areas of infiltration with prominent peribronchial

markings. Discrete, following upon absorption of soft infiltration, large and small

conglomerate nodules. X-rays cleared before symptoms cleared!!!

Oxygen and rest of most benefit. Cough, dyspnea, undue fatigue.

Combining the poisonous symptoms with those of the provings it is possible to envisage

the use of this drug in chest conditions such as one finds in influenza especially in the

cases, which in some epidemics are not uncommon, where dyspnea, more marked than

one should expect from the physical signs, is encountered. If viewed from this angle the

drug which it resembles in the premonitory stages of influenza is Rhus tox., with its

coryza, tracheobronchitis and muscular aching which is better for movement and indeed,

even the digestive symptoms are quite similar with its lack of appetite, nausea and

fullness after meals and drowsiness after eating. At any rate, in a case which resembles

Rhus in general and where Rhus fails this remedy might be considered, and just as


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Baptisia is often suggested for a more severe attack of influenza than what Gelsemium

covers, so, where the symptoms are those of Rhus, but the symptoms seem (and

especially those of the lungs) more severe, then Beryllium might be useful.

Most of the head symptoms resemble Bryonia as do also the cough symptoms, so once

more, as is so useful, there is a discrepancy between the symptoms in one region and

those in another, for example, here the symptoms are like Bry. and those of the back

and limbs resemble Rhus tox. Douglas Ross

Tracheo-bronchitis with sticky mucus and intense pain behind the upper sternum, and

dyspnea. Paterson

Influenza and chesty conditions where the dyspnea is greater than the physical signs

would lead one to expect, with muscular aching and other symptoms resembling those

of Rhus tox.

He notes the similarity of the headache to Bryonia [but Bry. headache is more frontal

and Beryllium occipital], of the throat symptoms to Lachesis and of the digestive to

Lycopodium. Templeton

It is possible to envisage the use of this drug in chest conditions such as one finds in

influenza especially in the cases, which in some epidemics are not uncommon, where

dyspnea, more marked than should be expected from the physical signs, is encountered.

If viewed from this angle the drug which it most resembles in the premonitory stages of

influenza is Rhus tox... where Rhus fails this remedy might be considered... it might be

valuable... for such symptoms as nausea riding in a vehicle and at the sight and smell of

food... most of the head symptoms resembles Bryonia as do also the cough symptoms.

Templeton

From the proving:

Cough: Cough from sternum, cannot get deep enough. Dry, painful, upper sternum

[Bry.], like knives. Non-productive: worse cold air, smoke, bending backwards, better

warm room

Sputum tastes sweet

Dyspnea [with palpitation] on exertion


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Constriction chest on inspiration

Headaches: Throbbing, splitting sensation

Worse heat, coughing, jarring, movement, light [Bry.]

Better fresh air, lying that side.

Coryza thin, acrid discharge; fullness, better open air, worse warm room.

Dryness lips and mouth, cracked lips; burning, rough, sore, as if chapped

Ulcers tip of tongue and inside lower lips.

Sore burning, like knives, worse saliva, hot fluids, coughing, evening; better cold drinks,

eating.

Must swallow; must keep clearing throat.

Red glazed appearance of palate and pharynx.

Loss of appetite. Averse all food, averse sweets

Fullness before meals; full up yet hungry [Lyc.]; fullness with aversion food; drowsy after

meals; tightness epigastrium worse inspiration

Nausea, worse sight and smell of food, riding in bus, better lying down and eating

Palpitation with faintness and weakness of legs. Cold sensation lumbar and gluteal

regions. Stitching pain mid-dorsal and lumbar régions : worse sitting, bending head

forward, first movement, lying down. Better walking

Elbow, forearm, metacarpals and phalanges, as if bruised, as if strained, with loss of

power. Weakness legs

Shivering in bed worse slightest movement

Itchy papules, < scratching, < warmth

Soreness of nose and throat, mild epistaxis, metallic taste, swelling and engorgement of

mucous membrane of nose and throat. Tracheobronchitis; cough with scanty blood-


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stained mucus. Fine rales later becoming coarse; vital, capacity reduced, dyspnea,

pneumonitis.

Burning substernal pain, cyanosis, anorexia, rapid pulse, pyrexia slight. Undue fatigue

and loss of flesh. Douglas Ross

Lobelia purpurescens

Profound prostration of all the vital forces and of the nervous system; RESPIRATORY

PARALYSIS. NERVOUS PROSTRATION OF INFLUENZA. Coma. Tongue white and

paralyzed.

Cured and proving symptoms as March 30:

• Flu-like feeling

• Oppression and tightness of the chest with respiratory distress [oppression worse

deep breathing]

• Shortage of breath when lying [Lob. = 3], when talking, at small efforts [Lob. = 3],

ascending [Lob. = 2]

o Free breathing difficult, must take deeper breath

o Restless due to the shortage of breath

• Fatigue, tiredness

• Loss of sense of smell and taste

• Strange taste in the mouth – as if teeth were not brushed

• Bitter taste

• Dry mouth

• Great thirst: des cold drinks

• Weakness of the lungs (left > right?)

• Poor general condition, unstable circulation

• Swelling and mucus in the throat

• Nightly sweat

• Shivering

• Heavy limbs, pain in limbs

• Pain in the back

• Weakness of the legs – they buckle when walking


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• Cough – with sputum

Lobelia purpurascens

Description

Lobelia purpurascens.

Lobeliacea.

Tincture of whole fresh plant.

Clinical

Heart, paralysis of.

Influenza; headache of.

Lichen tropicus.

Lungs, paralysis of.

Snake-bites.

Tongue, paralysis of.

Typhoid fever.

Vertigo.

Characteristics

Under the name Lobelia rubra, corrected later by F. Kopp (H. W., xxxiii. 328) and E. C

White himself (H. W., xxxiii. 510) to Lob. purpurascens.

Kopp describes the plant thus : "Stems angular, procumbent.

Leaves ovate, green on surface, and either purple or purple and green underneath,

somewhat serrulated, rather firm, usually from half to one inch long; pedicles axillary,

much shorter than the leaves, reflexed after flowering.

Flowers white above, purpled beneath, delicately scented, most dioecious, corolla four

or five lines long, the lower lobes oblong, obtuse, the two upper ones shorter and

narrower, more acute and incurved.

Capsule narrower, ovoid, fully three lines long; seeds rather large, often flattened."

It grows profusely in the Australian bush, preferably in moist places, and most profusely,

says Kopp, where snakes most abound.

White adds that it prefers loose sandy soils.

…and he came to the conclusion that this was the cause of their death.


114

White gives a short pathogenesis in which symptoms like the effects of snake-poison are

prominent.

White gives a clinical experience of his own which is important : "This plant, if only

touched carelessly with the teeth, produces overwhelming giddiness.

I had noticed that the sickening stupor and headache it produces exactly resembled

those of La Grippe, before I knew the name of the plant.

and I used to notice that all chest symptoms were avoided under its sway

throughout the year."

White gives as follows : Intense prostration, vital and nervous.

Deadly chill without shivering, but overpowering the system.

Paralysis of lungs and resultant poisoning with carbonic acid gas; vomiting and coma. in

low typhoid conditions, and seems to neutralise the poison of influenza.

Staph., and the common carrot, agrees especially well with patients who are deficient in

silica, and who are nervous, liable to boils, of a hasty disposition, perspire profusely, and

whose teeth are always decaying.

Symptoms are agg. by movement; agg. in damp weather.

Relations

Compare

Lob. inf., Tabac., Lach. and other snake-poisons.

Bapt. (influenza, typhoid); Secal., Staph. (teeth).

Causation

Snake-bites.

Blood poisoning.

Symptoms

Mind

Hasty disposition.

Dejection.

Head

Vertigo accompanied with nausea and stupor.


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Overwhelming drowsiness (exactly as produced by snake-venom), sickening, dizzy

headache, esp. just between eyebrows.

Dull and distressing pain in head, with fulness in base of occiput and forehead; pain agg.

by shaking head and any motion.

Confused feeling in head.

Eye

Eyes weak; on closing them an apparent soreness.

Impossible to keep eyes open, almost spasmodic closing of (upper) lids.

Nose

Dryness and fulness of nose.

Mouth

Mercurial taste in mouth.

Thick saliva in mouth.

Tongue white and paralysed.

Throat

Dryness in throat, of burning character.

Appetite

Great thirst.

Loss of appetite.

Stomach

Sinking feeling in stomach.

Nausea accompanying vertigo.

Urinary organs

Increased secretion of urine.

Chest

Tightness of chest with great oppression and labouring breathing.

Sensation as if lungs paralysed; superficial breathing.

Breathing slow, almost ceases.


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Heart

Distressed feeling in region of heart.

Heart paralyses; beat almost imperceptible.

Back

Weakness in lumbar region accompanied with great languor.

Limbs in general

Weariness and extreme weakness of the limbs.

Lower limbs

Great weakness of lower extremities; knees appear to collapse under weight of body.

Generalities

Exhaustion and dejection.

General debility with loss of appetite and great languor.

The symptoms come on with great rapidity, within five minutes of taking the drug.

Low typhoid condition.

Skin

A prickling all over body like prickly heat (lichen tropicus).

Sleep

Overwhelming drowsiness.

Fever


General feeling of feverishness.

Profuse perspiration.

(Typhoid fever.

Influenza.)

Lobelia purpurescens : has been successfully used by Prof. Dr. Gerhard Resch.

He has treated several light cases of COVID-19 and one severe case. In all cases he

has seen good effects.


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He also gave the remedy as prophylaxis to some patients that had been in contact with

COVID-19 patients, none of them got ill.

Resch assumes that Lob-p. is suitable for light as well as for severe cases of COVID-19.

In Clarke’s Materia medica the remedy can be studied best (see scan below).

In answer to the question which symptoms he found particularly indicative to Lob.-p he

said:

Massive chill, but without shivering; Clarke: „Deadly chill without shivering, but

overpowering the system“

Great weakness – here he also cited Clarke: „Acts very like Bapt. in low typhoid

conditions!“

Great thirst and total loss of appetite (Clarke: „Great thirst, loss of appetite“)

Impending lung failure

Stupor

LOBELIA PURPURESCENS—Dr. White presents the followiwg as characteristic of this

remedy:

Head—Depression and confusion like that produced by the snake poisons;

nauseating headache, with vertigo, especially over the eyebrows. Ei/es.—Cannot keep

the eyes open; almost spasmodic closure of the eyelids. Mouth.—Viscid mucus in the

mouth ; the tongue white and paralyzed. Heart.—Paralyzed ; the heart beat almost

imperceptible.

Chest.—Sensation o f paralysis of the lungs; superficial respiration. Lungs.—Paralyzed,

slow respiration, which almost completely ceases; pro found prostration o f all the vital

forces and o f the nervous system; chills without shaking. In consequence of the

respiratory paralysis, the organism fills with carbonic acid, and vomiting and coma

supervene. This drug, there fore, acts in serious typhoid states like baptisia. I t combats t

h e nervous prostration o f the grippe, and appears to destroy the poison in this disease

as baptisia overcomes that otyphoid.—Revue Homoeopathique Belge. 1

Lobelia purpurescens dans des affections du cœur. — Deux relations d'affections

cardiaques caractérisées par des battements de cœur simulant les résonances du fond

d'un tambour, subitement amendées par une goutte d'une mixture de 50 p, % de Lobel.

purpur., teinture-mère. [CLARKE dans son Dictionary o s Materia medica ne signale pas


118

cette modalité des battements du cœur, Il parle au contraire d' « un cœur paralysé » et «

d'une pulsation presque imperceptible »] (N. d . 1. R .)

Lobella purpurascens est très utite dans l’influenza. Dans une épidémie, deux gouttes

de la 1è trituration de medicament guérit dès la seconde dose de forts battements de

cœur sans que le mal envahit les bronches et les poumons (Hom. World). 1904-05

Magnificent in the intense prostration, almost collapse, of on-coming influenza. HW 1907

Clarke: Exhaustion and dejection.

General debility with loss of appetite and great languor.

The symptoms come on with great rapidity, within five minutes of taking the drug.

Low typhoid condition

Overwhelming drowsiness.

Restless sleep.


General feeling of feverishness.

Profuse perspiration.

(Typhoid fever-Influenza.)

Tightness of chest with great oppression and laboring breathing.

Sensation as if lungs paralysed, superficial breathing.

Breathing slow, almost ceases.

Great thirst.

Loss of appetite.

White: “I had noticed that the sickening stupor and headache it produces exactly

resembled those of La Grippe, before I knew the name of the plant.

My headache disappeared like magic under Lob. purp. f, and I used to notice that all

chest symptoms were avoided under its sway.

La Grippe breaks out in wet weather.

This plant, with its tiny gem-like white blossoms, always carpets the earth after each

rain throughout the year." Other general characteristics of Lob, purp. White gives as

follows: Intense prostration, vital and nervous.


Paralysis of lungs and resultant poisoning with carbonic acid gas, vomiting and coma.


119

Acts very like Bapt. in low typhoid conditions, and seems to neutralize the poison of

influenza.

Growing on sandy soil it contains much flint, and like Secal., Staph., and the common

carrot, agrees especially well with patients who are deficient in silica, and who are

nervous, liable to boils, of a hasty disposition, perspire profusely, and whose teeth are

always decaying.

Symptoms are worse by movement, worse in damp weather.

Profound prostration of all the vital forces and of the nervous system; RESPIRATORY

PARALYSIS. NERVOUS PROSTRATION OF INFLUENZA. Coma. Tongue white and

paralyzed. Boericke

Drowsiness; dizzy headache between eyebrows; cannot keep eyes open; tongue

white—feels paralyzed as also do the heart and lungs; intense prostration of all vital

forces; deadly chill, without shivering; useful for the low, nervous prostration of grippe

Confused and depressed. Headache with nausea, vertigo; especially between

eyebrows. Cannot keep eyes open; spasmodic closure of lids.

Impossible to keep open. Drowsy.

Superficial respiration; heart and lungs feel paralyzed; respiration slow. Heart beats

sound to him like boom of a drum.

LOBELIA PURPURASCENS


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The first mention of this plant was made by Erskine C. White under the name Lobelia

rubra, corrected later by F. Kopp and E. C. White himself to Lob. purpurascens.

I find this remedy very useful in terminal stages of viral illnesses that attacks the lungs, it

also has influenza like picture. I have made following additions through Radar program

few years back. I think we can apply this for Covid-19 terminal stages. This medicine

acts best when repeated frequently in 1M potency.

• CHEST—DRUMMING heart sounds

• CHEST—INFLAMMATION—Lungs

• CHEST—INFLAMMATION—Lungs—last stage

• CHEST—INFLAMMATION—Lungs—neglected

• CHEST—PARALYSIS—Heart

• CHEST—PARALYSIS—Lung

• CHILL—CHILLINESS

• FEVER—TYPHOID FEVER

• GENERALS—COLLAPSE

• GENERALS—INFLUENZA

• GENERALS—SEPTICEMIA, blood poisoning

• GENERALS—SEPTICEMIA, blood poisoning—ailments from

• GENERALS—WEAKNESS—acute diseases—during

• GENERALS—WEAKNESS—nervous—influenza; after

• HEAD—PAIN—accompanied by—nausea

• HEAD—PAIN—influenza—during

• MIND—COMA

• MIND—CONFUSION of mind


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• MIND—DELIRIUM—sopor, with

• MOUTH—DISCOLORATION—Tongue—white

• MOUTH—PARALYSIS—Tongue

• RESPIRATION—ACCELERATED

• RESPIRATION—SLOW

• RESPIRATION—STERTOROUS

• RESPIRATION – SUPERFICIAL

Symptoms of terminally ill, last stage Covid-19 patients, collected from all over the world

MIND—COMA

MIND—CONFUSION of mind

MIND—DELIRIUM—sopor, with

VERTIGO—ACCOMPANIED BY—Head—pain in head

HEAD—PAIN—accompanied by—nausea

HEAD—PAIN—influenza—during

MOUTH—DISCOLORATION—Tongue—white

MOUTH—PARALYSIS—Tongue

RESPIRATION—ACCELERATED

RESPIRATION—SLOW

RESPIRATION—STERTOROUS

RESPIRATION—SUPERFICIAL

CHEST—DRUMMING heart sounds

CHEST—INFLAMMATION—Lungs

CHEST—INFLAMMATION—Lungs—last stage

CHEST—INFLAMMATION—Lungs—neglected

CHEST—PARALYSIS—Heart

CHEST—PARALYSIS—Lung

SLEEP—SLEEPINESS

CHILL—CHILLINESS

GENERALS—COLLAPSE

GENERALS—INFLUENZA

GENERALS—SEPTICEMIA, blood poisoning

GENERALS—SEPTICEMIA, blood poisoning—ailments from


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GENERALS—WEAKNESS—acute diseases—during

GENERALS—WEAKNESS—mental exertion—agg.

GENERALS—WEAKNESS—nervous—influenza; after

Repertorisation clearly shows – Lobelia purpurescens


123

Lobelia inflata [Lob.)


124

If you would have a case that would indicate Lobelia purpurescens but you had no

access to it, you could try Lobelia inflata (Lob.) which is much easier to find, as we find

the following symptoms under Lobelia inflata:

Great debility with dyspnea

Dyspnea threatening suffocation.

Oppression and anxiety in chest.

Feeling as of a band about chest, with irresistible desire to cough.

Pain behind sternum.

Pneumonia particularly in individuals who have affections of respiratory or heart

diseases.

Heat, short, anxious, labored breathing.

Much mucous rattling.

Respiration short, anxious, laborious and wheezing, with tightness of the chest.

Sensation of congestion, pressure or weight in chest.

Dyspnea and suffocation from constriction of middle of chest aggravated by exposure to

cold, the slightest exertion, every rapid movement, eating very warm food, going up or

down stairs.

Extreme dyspnea and cyanosis.

Impossibility of deep inspiration.

Short inhalation and long, deep exhalation.

Inclination to sigh, or to get a very deep breath, deep inspiration.

Apprehension of death and difficulty of breathing.

Fever with short, anxious and labored breathing.

Coated tongue.

Very disagreeable taste.

Loss of appetite, with acrid, burning taste in mouth.

Characteristics:

Nausea is relieved by drinking

Thirsty mostly in the prodromal stage and during heat.

Chill, with thirst, severe shaking aggravated by drinking, down the back with heat in

stomach, general shivering alternating with flushes of heat.

Desire for warmth.

Faintness from trying to move.

Too weak to even stretch out her hand to do anything.


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Urine of a deep red, depositing a copious red sediment.

Borland: “Lobelia patients are pretty ill. They look rather pale, and they have a rather

sweaty skin surface. They always complain of a feeling of horrible oppression and of a

very marked sense of fullness in the chest, which they say they cannot shift at all.

“They have a very spasmodic, dry cough, which seems to do them no good and which is

always attended by nausea. They want to keep as still as they possibly can, and any

movement, any exertion, very much increases their sense of respiratory embarrassment,

and also the nausea.

“There is a very marked aversion to movement of any kind; it increases their respiratory

distress, and it also increases their nausea. You will always find a certain amount of air

hunger; the patients are more comfortable if there is fresh, circulating air, although they

do not like a definite draught.

“Mentally, the Lobelia patients tend to be rather depressed; they want to be left quiet,

they do not want to be disturbed.

“There is one other Lobelia symptom which sometimes crops up, and that is that in these

pneumonia attacks the patients quite frequently complain of very violent sacral pains.

They have a good deal of respiratory distress, and one's tendency is to prop them up a

bit, but if one does one often finds they complain bitterly of this sacral pain and extreme

sacral tenderness.

“They have a very spasmodic, dry cough, which seems to do them no good and which is

always attended by nausea. They want to keep as still as they possibly can, and any

movement, any exertion, very much increases their sense of respiratory embarrassment,

and also the nausea.”

Gelsemium

Main remedy. Miserable, Thirstless, Heavy droopy eyes, wants to lie in a corner. Chills

up and down the back (Eup-pur).


126

Desires to be quiet, does not wish to speak, nor have any one near her for

company, even if the person is silent. Hering

Stupor, cannot open the eye. Hering

Fever without thirst, wants to lie still and rest. Hering

The remedy has proved of signal value in many cases of influenza, in paralytic nervous

disorders of sudden onset, in virus toxaemia, in measles. Gilcrhist

First stage of typhoid, when patient seems to have "taken cold," sudden onset, non-

complication by drugs, patient of an afternoon gets "very tired" with languid aching in

back, extending down limbs, wants to rest, even to sleep, hands and feet become cold,

general chilliness, then hot fever, with crimson flush of whole face, occasional moisture

here or there, sleeps frequently half waking and talking incoherently, morning decline of

fever, throat feels sore and filled up tongue clean or yellow, head feels "big as a bushel,"

tremulous, vertigo, blind spells, epistaxis, iliac tenderness. Hering

So tired he cannot exert himself to move or turn round, wants to be left alone. Shepherd

Chilliness up back, cannot move away from fire without chilliness, head hot before fever

sets in, torpid, heavy condition during fever, head feels heavy and big, face scarlet, eyes

suffused, nose runs a watery mucus, but little sore throat, pulse large, full and quick, but

not very hard, febrile motions remittent, worse about same hour every day. • Influenza.

Hering

Catarrhal fevers, from the influence of a cold, damp atmosphere, or a sudden change

from hot and dry to damp air. When influenza is epidemic, at any season of the year, you

will always find cases where this remedy is called for by the following symptoms:

Chilliness up the back, can not move away from the fire without chilliness; the head is

hot before the fever sets in, which is not attended by thirst, restlessness and anxiety, as

with Aconite, but a torpid, heavy condition. The head feels heavy and big, the face

scarlet, the eyes suffused, the nose runs a watery mucus, but little sore throat, the pulse

large, full and quick, but not very hard, and the febrile motions are remittent, aggravated

about the same hour every day. Hale


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Influenza adds more of severe occipital headache, dull, heavy, deep—seated aching in

the back and limbs or bruised soreness all over as though he had been pounded. No

other remedy has cured more cases of la grippe or endemic or epidemic influenza,

especially when occurring in warm, moist weather. H. Farrington

When hot, flushed, aching, trembling, dizzy, drowsy, feeling 'drugged' or weak.

Headache, limbs and eyes feel heavy, back chilly. Sneezing, running nose. Sore throat,

difficulty swallowing. No thirst. Also, upsets from 'nerves'.

In the epidemic of influenza prevailing in 1868, Dr. Wm. E. Payne found Gelsemium the

remedy for the following symptoms: Soreness at the throat, felt at the upper part of the

left tonsil, extending thence across to the soft palate, along the left nostril, attended with

the sensation, at every inspiration, as if a stream of scalding water rushed along the

nasal passage of that side, the opposite nostril at the same time being stopped; and

continuous accumulation of irritating mucus about the throat, with hard, painful cough,

and all the symptoms aggravated at night.

Eupatorium perfiolatum

Eupatorium is frequently called for in influenza, especially in the eastern and northern

states. Chilliness and desire for warmth, severe aching in the lumbar region and grinding

ache in the extremities are accompanied by burning heat, great thirst, nausea and

vomiting of bile worse from drinking and the smell or thought of food. Although motion

aggravates the pains; the patient is so restless that he cannot remain quiet. The pains

are apt to come and go quickly, like those of Belladonna. There is often vertigo with

tendency to sway to the left; the sclerotics may be yellow. Perspiration, even though

scanty, relieves all the pains except the headache.

The common name, "Boneset", is well chosen. Aching in the bones as if they were

broken is the central feature of the drug, for it occurs in practically every case where

Eupatorium is indicated. The more prominent this symptoms, the more likely is

Eupatorium to be the remedy. With these bone pains there is marked bruised soreness

of the softer tissues.


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Eupatorium acts principally on the respiratory tract, bones, muscles, and liver, and

whether the case be one of coryza, influenza, pneumonia, remittent or intermittent fever

or some hepatic disorder, there are apt to be more or less of jaundice and vomiting of

bile.

The coryza is characterized by sneezing, watery discharge from the nose, hoarseness,

painful soreness of the eye—balls, pulsating in the back of the head, fever and marked

thirst for cold drinks; Every bone in the body aches.

If there is bronchial inflammation, the cough is violent and racking and the patient holds

the chest with his hands on account of the intense soreness of the trachea and bronchial

tubes. The cough is worse lying on the back and relieved by assuming the knee—chest

position.

The same symptoms will obtain in pneumonia, with added difficulty in breathing, sharp

pain through the chest (usually the right) on deep breathing, soreness in the right

hypochondrium and jaundice. Eupatorium is indicated in the so—called bilious forms of

this disease. H. Farrington

Very restless, cannot keep still, although there is great desire to do so.

Trembling: with vomiting, with chill, internal, with external heat, during heat, in back,

during fever.

Great weakness and prostration during fever, with faintness from motion.

During fever, weak, faint, nervous, trembling.

Hands have to assist the head in lifting it, with headache.

Weakness during fever, could not raise head from pillow.

General debility from intemperance.

General lassitude with influenza.

Great prostration, almost syncope.

Faintness from motion, during fever.

Intense soreness and aching all over, vomiting, pain in back of head and neck. Hering.

This remedy is also very useful in diseases of the respiratory organs. In the so—called la

grippe of recent years it has proven in my hands very valuable; the " aching all over as if


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in the bones " being the leading symptoms. Painful soreness of eyeballs; coryza; aching

in every bone; prostration in epidemic of influenza (La Grippe).

Deep hard achings as if in the bones, with sore, bruised feeling all over, back, arms,

wrists, legs.

Vomiting of bile between child and heat. Chill 7 to nine AM. Hoarseness in the morning,

with soreness in chest when coughing; holds it with his hands. Nash

Flowing coryza; sneezing; hoarseness, with roughness of voice; hacking cough in the

evening, with soreness in the chest; restlessness; pains and aching in the limbs;

constant change of position, though the pains are not worse by repose; lassitude;

surface pale and morbidly sensitive. Lilienthal

The characteristic, however, is thirst before the chill and during the chill and heat.

Ιnfluenza, especially of aged persons. Prostration in epidemic influenza. great soreness

and aching of the entire body; hoarseness and cough, with great soreness of the larynx

and chest; a great coryza and thirst, and drinking causes vomiting; the cough hurts the

head and chest and ther patient holds the chest with the hands. Cough decreased by

getting on hands and knees. Various

EUPATORIUM PERFOLIATUM (Influenza ) is a remedy for warm mild weather. The

most outstanding symptom is the extreme aching right deep in the bone, the back and

the legs—feeling as if the bones would break; the patient is restless; there is no

comfortable place in bed; it feels hard. Coated tongue. There is great heat but no

perspiration. Bryonia and Eupatorium can be easily mistaken one for the other, but if you

remember that Bryonia lies quietly and does not like to the disturbed, and Eupatorium is

restless, you are less likely to confuse the two. Shepherd

Coryza, with sneezing. HOARSENESS AND COUGH, WITH SORENESS IN CHEST;

must support it. INFLUENZA, with great soreness of muscles and bones. CHRONIC

loose cough, chest sore; WORSE AT NIGHT. Cough relieved by getting on hands and

knees. Boericke


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Influenza: "eyeballs sore; nose dry; thirst great; violent coryza; cough with soreness and

heat in bronchi."

In this condition the cough is usually worse lying on back, better lying on face. The

coughing hurts the head and chest (Bryonia). The general aching and bone pains are

also present in the influenza of Eupatorium perf. Royal

Arsenicum album

The remedy in the pneumonias of the aged, where there is extreme dyspnea, disturbed

circulation, gangrene, disorganization of lung tissue, exhaustion, collapse, and

impending paralysis.

Influenza in children, sudden onset, much prostration, child looks as though it had been

sick a week.

Frequent attacks of anxiety, worse at night, fears death. Diarrhea very prostrating,

often involuntary. Hering

Arsenicum meets those cases which are accompanied with a burning acrid discharge

from the nose, and cough aggravated at night; thirst. Hoyne

Sudden catarrh threatening suffocation at night; influenza in children with sudden onset

and much prostration; child looks as if it had been sick a week; violent sneezing with

blood—tinged discharge; profuse watery discharge from nose, corroding nostrils and

making the upper lip sore, agg. at night and after a meal; great debility; spasmodic

cough, with desire to vomit or with vomiting and expectoration of watery mucus; running

of eyes, excessive photophobia; inflamed eyes with ulcers on cornea. Lilienthal

In influenzas, with great debility, severe coryza, and inflammation of the throat and

eustachian tubes, causing roaring in the ears and deafness, Arsenicum is one of our

best remedies. Marcy


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INFLUENZA, more particularly, if this disease prevails in a community extensively in

consequence of atmospheric irregularities, or as an epidemic miasmatic disease. The

patient feels very much prostrated; the above—mentioned catarrhal symptoms are

present; the patient complains of bad taste in the mouth, feels thirsty, chilly and feverish,

he craves cooling drinks, is sick at the stomach, feels sore all over, looks sallow and

distressed, is disposed to sleep, lowspirited, tremulous. Hemple

In rhinitis and WINTER COLDS, it is indicated by a thin, watery discharge that excoriates

the upper lip. The nose feels stopped up, there is a frontal headache, photophobia, and

excessive sneezing. The patient is worse on going into the open air, the burning,

however, being better in the open air, and worse near the fire. It becomes the remedy in

INFLUENZA when the discharges are profuse, burning, and corroding, and are

accompanied with extreme lassitude and aching of the muscles. Blackwood

Camphora

Cold, collapse, averse to being covered

There is one peculiarity in the coldness of Camphor, viz., the patient will not be covered,

or objects to it, no matter how objectively cold he is.

At the very beginning of cold before the chill has passed off. camphor was

recommended by Hahnemann as a remedy for Russian influenza, and has been used

with good effect in the recent epidemic, when the initial chill has been great and

attended with great prostration.

When the influenza endemic in Siberia comes among us, as it does occasionally, when

the hot stage has already commenced, camphor is of service, only as a palliative

certainly, but an invaluable palliative, seeing that the disease is one of short duration. It

should be given in frequent but shorten the duration of the disease, but renders it much

milder, and hence it conducts the disease innocuously to its termination. (On the other

hand, Nux vomica, in a single dose, and that the smallest possible, will often remove the

disease homeopathically in a few hours.) Hahnemann


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Influenza, when during the stage of invasion the patient feels cold and chilly, body and

mind seem in a depressed condition. Voice: weak, uncertain, bleating, whispering,

murmuring, hollow. Hering

Influenza in the spring, more of an asthenic character, beginning with more or less

chilliness or chills, with deathlike paleness of the face, often at the same time a desire to

be uncovered. Lilienthal

Coryza, which precedes a bad cough, frontal headache from sinus congestion, vertigo,

lassitude, etc. in a patient who is cold and chilly; despondent, pale, loose and cold skin

with general disposition to catarrhal discharge. Hoyne

FIRST STAGES OF A COLD, WITH CHILLINESS AND SNEEZING. PAIN BETTER

WHILE THINKING OF IT. Suffocative dyspnea. Violent, dry, hacking cough. BREATH

COLD. Suspended respiration. Better : Warmth. WORSE, motion, night, contact, cold

air. Boericke

Influenza; headache with catarrhal affections, brought on by change of the weather;

diarrhea with colic—like pains; sun—stroke, where there is restlessness and depression

of spirits; lock—jaw, with this cold surface of the body; cramps in the calves of the legs;

affections of patella; back of the foot; pain in inner parts as if bruised. Sleeplessness;

anxiety.

Particularly indicated in seasons of epidemic influenza, when females abort almost as

generally as the influenza prevails. Especially if she have pale, loose and cold skin with

general disposition to catarrhal discharges.

AGGRAVATION. From cold air in general.

AMELIORATION. From warm air in general. Guernsey

In the first stage of suffocative catarrh, with paralysis of the lungs, as found in epidemic

influenza. Burt

Chills, great anxiety and a sunken cast of features, and feeling like he is dying. Schlegel


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Chelidonium

Great lethargy, debility, weariness and indisposition to make any effort

Low form of delirium, quiet in character, with the peculiar pneumonia of the drug.

The mental condition is generally heavy, lethargic, disinclined to mental effort;

Cough loose and rattling, the expectoration raised with difficulty (Tartar emetic).

Frequently useful in the bronchitis of children, with dusky red face, oppressed breathing,

etc. Cough, with pain in right side of thorax, either with severe bronchitis or with

pneumonia. Numerous cases of pneumonia in right lung have been cured when

associated with symptoms of hepatic derangements, distressing pain under right

scapula.

Breath short; and difficult, with oppression and anxiety of chest with constriction of chest;

during fever, and rapid. Heavy. Difficult worse after dinner.

Rapid breathing amel. eructations.

Obstructed as by a foreign body in bronchi. Necessity to breathe deeply. Longing for

fresh air in order to breathe more easily. Inability to breathe deeply on account of

stitches.

Influenza. The following are the indications:"Great and dry heat especially in the face;

rigor particularly toward evening; moderate thirst; nose, tongue and throat dry; violent

pain in forehead above the eyes; vertigo; lachrymation; photophobia; drawing in the

nape and occiput; violent pain in the back; shaking dry cough; shortness of breath and

tight chest; stitches in the left side; eructation; pains in all the limbs, with a bruised

sensation; great languor and faintness; loss of appetite; nausea; nightly delirium, with

amelioration in the morning, much anxiety and restless till midnight."

Coughs in General. Chelidonium meets frequent paroxysms of dry violent, hollow or

short, exhausting cough (worse in the morning), excited by tickling in larynx, by

sensation of dust in the trachea, throat and behind the sternum, not relieved by

coughing; loose rattling coughs; bright-yellow stools, pain under the lower angle of right

shoulder blade.


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Pneumonitis. Useful in pneumonia of the right side of the body, with lungs full of mucus,

dyspnea, tightness, and anxiety of the chest; great and quite irregular palpitation of the

heart; violent stitches, with short, dry cough, which increased the pain; sensation of

throbbing in the lungs; dark-red cheeks; pain under the right shoulder-blade, with soft,

bright-yellow stools, or whitish and costive. It is also valuable in pneumonia of the left

side, worse right and left side. Hoyne

Ammonium muriaticum

Watery discharge from nose; loss of smell, with coryza and stoppage of nose,

hoarseness and burning in larynx; frequent sneezing; tearing from nape of neck to

shoulder; painful jerks, now here and there, through all the limbs; thirst at night. Lilienthal

Magnesium muriaticum

Perversions of taste and smell are marked in Mag-m., and I have frequently restored

with it loss of taste and smell after influenza. Clarke

Baptisia

Another disease in which it has proved specific in a large number of cases is epidemic

influenza.

The besotted countenance, bleary eyes, aching head, sore throat, pains and soreness

all over the body, and profound prostration which are present in all typical cases indicate

Baptisia before any other remedy.

Among the chief symptoms of the remedy are the following: Stupor, falls asleep while

being spoken to, confused as if drunk. Clarke

The symptoms of this drug are of an asthenic type, simulating low fevers, SEPTIC

CONDITIONS of the blood, malarial poisoning, and extreme prostration. Indescribable

sick feeling. GREAT MUSCULAR SORENESS AND PUTRID PHENOMENA ALWAYS

ARE PRESENT. All the secretions are offensive—breath, stool, urine, sweat, etc.

Epidemic influenza. Boericke


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Confusion: difficult concentration; aversion to mental exertion; RESTLESSNESS;

delirium; DELUSIONS THAT BODY IS DISMEMBERED AND SCATTERED ABOUT; or

that it is double; AVERSION TO OPEN AIR; unconsciousness.

PROSTRATION: LASSITUDE; DESIRE TO LIE DOWN.

Sensations: BRUISED SORENESS; numbness.

PUTRESCENCE.

Enlarged lymphatic glands.

Hemorrhage.

Paralysis.

Worse: Morning; evening; open air; pressure; lying down; lying on painful side; walking.

H. Farrington

In contrast with Gelsemium, Baptisia patients are always thirsty. They have a constant

desire for water, but if they take much at a time it often produces a sensation of nausea.

Taking a little at a time, they are all right, but their thirst is always one of their

troublesome features. Borland

Carbo vegetebalis

Coldness, blueness and collapse in the late stages, as not infrequently met with in

pneumonia

Carb. veg. Third stage; cough by spells, or no cough; hippocratic face, eyes half open,

nose pinched and cold, lips blue, pupils insensible, no complaining or crying; pulse

small, quick, difficult to count; body emaciated and marbled; feet and hands blue and

cold; abdomen distended with gas; respiration frequent and superficial; breath cold—a

perfect picture of collapse. It has helped me in a few desperate cases of pneumonia, last

stage, with marked dyspnea, cold breath, general coldness, weak pulse and a tendency

to collapse.

Many cases of pneumonia that have seemed hopeless, in a state of collapse, blood

stagnating in the capillaries, causing blueness, coldness and ecchymosis, with the

foregoing chest symptoms, may be saved by this remedy. The difference between Carbo

veg. and Arsenicum in this stage is that the erethism and restlessness is very marked

under the latter, and lack of manifestation of vital force under the Carbo veg. It is not


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only here in these affections that Carbo veg. is useful, but in typhoids and other diseases

where these conditions are present.

Carbo veg. complements it if there is great prostration, sunken hippocratic face, general

coldness and blueness, and there is rattling respiration and dyspnea with desire to be

fanned hard to help the breathing. Pleuritis.

Cough by spells or no cough; if cough with rattling but too weak to expectorate (Ant.

tart.); Ant. tart. has failed; hippocratic face, nose pinched and cold; lips, hands, feet and

skin blue and cold, breath cold, dyspnea great, wants to be fanned, can't get oxygen

enough, vital force almost expended. I have seen several such cases come out under

Carbo veg., re—action setting in so that other remedies that did not act satisfactory will

now take hold and do better work. Antimon tart. is often of great utility where the case

has gone into what might be called the "loosening up" stage. The chest seems full of

mucus with coarse rattling and cough which seems as though it must bring up large

quantities, but it does not; the patient becomes cyanotic from want of oxygen, which the

great accumulation of mucus shuts out, there seems to be lack of strength to

expectorate, even threatened paralysis of the lungs; fits of suffocation. This is the

condition that precedes the desperate stage of Carbo veg. and may save the patient

from it. It is oftenest found in children and very old people. Pneumonia.

Carbo veg. if there is dark or light colored hemorrhage with perfect indifference,

especially if there is excessive paleness of the skin of whole body.

If, notwithstanding the use of Ant-t., the rattling and weakness increase, the cyanosis

also, until the blood stagnates in the capillaries, the extremities and breath become cold,

and the patient gasps fan me, fan harder, Carbo veg. is still able to turn the scale in

favour of the patient. I have witnessed this result more than once. It is in these cases

more of a broncho—pneumonia than simple bronchitis.

Carbo veg. may follow Ant-t. if the weakness and general blueness from unoxygenized

blood, with great hunger for oxygen, wants to be fanned hard to breathe, coldness and

prostration.


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Cuprum metallicum

Epidemic pneumonia, after a few day's dry coughing or a diarrhea, either stitches, mostly

in left side of chest, or a pressure behind sternum, or neither, but bronchitic symptoms

by auscultation, with headache, fever or great prostration, cannot take a deep breath,

the shooting pain prevents it, in some cases dyspnea, sudden feeling of suffocation, has

to sit up with a pale, collapsed face. (Hering)

Waterbury was one of the hardest hit towns in the country. "Black" cases and swift

ensuing deaths raged in certain neighborhoods as if struck by overwhelming fate.

Cuprum was the genius of the "Spanish" strain of influenza here and often turned the

vitality streaming back where the apparently indicated Bryonia had not availed.

Cuprum was adapted to all kinds of cases. It was the most similar in its occult relation,

the most like the epidemic from beginning to end. It caused reaction in nearly all the

ordinary conditions within twenty—four hours, overcoming the infection quickly and

completely without prolonged convalescence or complications. Most patients who had

Cuprum felt better after the attack than for a long time before. Cuprum cured most of

those anomalies of mental or nerve function observed, the obscure or localized

conditions. It cured the cases which presented shifting sets of symptoms perhaps like

Bryonia one day, Lyc. the next. Sul. the next, Hyos. the next and so on. It cured

practically all of the malignant or fulminating pulmonay oedemata if used before the

serous bubbling became extensive. It cured a substantial proportion of the cases which

had advanced so far that the bubling was audible at a distance, if the patient could be

watched closely and the remedy manipulated closely. It smoothed out the pains and

mental agony of moribund cases and, I believe, prevented or modified the terminal

convulsion which may occur in these sudden and shocking cases.

Those cases which after a day or two develop the rhoncus, sink and rattle their way out

of the world in two or three days, or those who along the usual course a few days, then

suddenly develop throacic oedema and call the attendant to a half if he is conscientious,

to do some personal and individual thinking. You might as well leave your "personality"

at home when you go to such a case. The wonderful powers of suggestion which the

regulars suppose we possess will have the courage to apply the principles of selection


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and repetition to these cases, and sick to it. The patient must have the correct remedy in

suitable potency and it must be manipulated accurately besides. Hayes

If we turn to the Hahnemann’s provings of Cuprum metallicum, it will be seen that

Cuprum metallicum is exactly the remedy. It has, in fact, checked many of the cases for

me, and quickly, the cure being more rapid than the progress was downward,

sometimes. If the condition is so far advanced that the rattling has become extensive in

both lungs and the pulse above 120, Cuprum metallicum can only palliate, and often

with borderline cases careful observation and dexterity is necessary to bring reactions to

the viable point. I have had no experience with potencies lower than the 200th,

preferring after some observation to hit hard at once with the 40 M or 50 M.

Sudden effusion of fluid into the air spaces of the lungs, coarse rattling, intense dyspnea,

jerky respiration, shooting pains through sides of the chest but soon disappearing

because of exhaustion, respiratory motions of the alae nasi, intense thirst for cold drinks,

drenched with sweat; at first refused to move, later throwing himself about the bed partly

to find a cool place. Cold sweat on hands, feet and forehead, would not remain covered,

intense mental anguish, premonition of death, constant groaning, cried out repeatedly

‘Wait a minute,’ thought he was going to be stabbed, shrinking to a corner of the bed in

terror, could not be appeased, staring as at some object in terror. Stabbing pain in

epigastrium, drenched with cold perspiration, cold breath, running tongue out quickly to

lick lips like a snake, eyes brilliant, complexion ashy and dark, lips white, later bluish,

frequently escaping from bed in spite of attendants. Convulsion began suddenly with

cramps in feet then legs then all over, the face last, muscles rigid but quivering, thumbs

turned in at first then snapped out; cyanosis, then sudden agitation of face and neck

muscles and death. Hayes

Ferrum phosphoricum

Shortly before this influenza made its appearance here in the West, I sent to members of

my family who live in other places, and gave to other members and to many friends

living here, as a preventive, Ferrum phosphoricum 12, of which to take a few pellets

twice daily. It has proved itself in every case protective, and has cured every patient

treated by it, in from one to three days. Only in some cases which had developed without

any catarrhal symptoms, I selected Rhus toxicodendron 200, and these cases recovered


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in from one to three days. Pneumonia never developed under these remedies, and if

existing before they could be given, that inflammation would certainly be cured by them

when given in the first stage; later on other remedies might possibly be indicated.

Some physicians believe in Gelsemium to possess the specific. The similarity with

Ferrum phosphoricum is indeed very great, but all the symptoms combined showed

closer to Ferrum phosphoricum and the main characteristic symptom of influenza, the

profound weakness and prostration, is much more peculiar to Ferrum phosphoricum

than to Gelsemium, and its protective power stamps it indisputably as the true remedy.

Putsch. MA 1890; 24: 213-215.

"Acute, short, spasmodic cough, which is very painful; cough agg. in open air, touching

larynx, at night; sharp stitching pains in chest on deep inspiration." We get prompt

results with it in several conditions of the lungs: 1st, congestion with a peculiar swishing

sound like the waves against the side of a boat in quiet water; a very rapid pulse; flushed

face; scanty blood—streaked expectoration; high temperature and marked restlessness.

2nd, pneumonia with the same symptoms as for congestion, plus heaviness of the chest

and dulness over certain areas, also a dry, hacking cough. Ferrum phos. was one of the

most frequently indicated remedies for Flu—pneumonia. 3rd, pleurisy with the sharp

stitching pain with every breath; high temperature, dry cough and rapid pulse. I have

found it especially useful for bronchitis of young children and old people with the above

symptoms. Not only will you find it helpful in acute but in chronic bronchitis when a fresh

exposure causes the above symptoms. 4th, whooping cough with hoarseness or

complete loss of voice; vomiting; epistaxis and a rapid pulse. The rapid pulse and bloody

sputum are the ranking symptoms of all conditions of this locality. George Royal

Phellandrium aquaticum

Hoarseness with roughness in throat; dry cough, with shortness of breath, stitches in

chest and oppression; great thirst, loss of appetite, sleeplessness on account of cough;

small black spots like petechiae, disappearing without desquamation; urging to urinate,

with scanty emission and violent burning after micturition; urine pale and watery, almost

greenish. Lilienthal

Phosphorus


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Must be thristy for large quantities of ice-cold water in all of its complaints. Could be

called in flu-like illness, but be especially called during pneumonia. Better in company,

worse when alone (Ars.). Much better with consolation.

Epidemic influenza: rawness and scraping in pharynx, worse towards evening, hawking

of mucus in morning, fluent coryza with great dulness of head and sleepiness, more

during day and after meals, blowing of blood from nose, profuse hemorrhages from nose

and mouth, much sneezing, frequent alternation of dry and fluent coryza, sensitiveness

in region of liver, with stitches there, hoarseness, rawness in larynx and trachea, cough

excited by tickling in chest, generally dry evening and night, with mucous expectoration

in morning and during day, worse talking, laughing, crying (children), lying on back or left

side, much fever and thirst, lassitude and prostration out of proportion to duration of

disease, much heat and great pain in larynx or chest, with dry cough and tendency to

diarrhea.

Larynx feels sore and dry, passage of inspired air gives to parts a sensation of rawness,

cough hoarse, expectoration scanty, constant tickling in suprasternal fossa, dryness of

throat night and day, hawking of mucus in morning, hoarseness, loss of voice.

Voice a husky whisper, feeling of weight and strangulation at larynx, which provokes

incessant coughing, hawking and spitting, sputum is a fine, white, tasteless froth,

expectorated every half minute, extreme dryness of throat and back part of mouth,

worse at night, when she is obliged to rise every half hour to moisten throat, looks pale

and haggard from loss of sleep.

Bronchitis: tight cough, worse from evening until midnight, tightness across chest, pain in

head, larynx and chest when coughing, cough worse from speaking, laughing, eating,

motion and on going into cold air, useful after onion syrup, severe and exhausting

cough, which child dreads and avoids as long as possible, worse in evening and

continues so during night, fever high, pulse rapid, lies upon back breathing very fast,

respiratory movements chiefly abdominal, every inspiration very short, half suppressed

and accompanied by a sort of groan, child, s attention could only with difficulty be called

to anything, much general heat, short cough, sibilant rales in lungs, hollow, dry, deep

cough, without irritation, in tall, slender persons of tuberculous habit, capillary, subacute


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attacks in emaciated, cachectic or young overgrown invalids, bronchopulmonary

catarrhs from dilatation or fatty degeneration of heart, cough abrupt, rough, sharp, dry,

between each coughing spell a short interval, dry tickling cough in evening, with

tightness across chest and expectoration in morning, pain in chest when coughing,

better from external pressure, trembling of whole body while coughing, cough worse

when other people enter room, tingling soreness and rawness in air passages, dry

cough with expectoration of viscid or bloody mucus, dilatation of bronchi.

Chronic bronchitis, profuse expectoration of white or yellowish mucus, auscultation

showing bronchial tubes to be filled with secretion, prostration worse by night sweats,

emaciation.

Chronic bronchial catarrh, cough dry, or expectoration of abundant tough mucus,

especially in morning, at times expectoration is cool, tremor when coughing.

Chronic bronchitis, when an exacerbation occurs and expectoration is streaked with

blood. Hering

Intense bronchial and laryngeal affection, affecting the voice and rendering speech

almost impossible; dry, tickling cough, with tightness across the chest; worse evening

and before midnight; coryza alternately fluent or dry, with frequent sneezing; goneness

and faintness in region of stomach; painless diarrhea. Lilienthal

Pulsatilla

The patient must be thirstless. Dry mouth without thirst is strongly indicating of Pulsatilla.

Bitter taste. Has difficulty breathing if in a warm room, let’s say above 21˚C (70˚F). They

desire cool fresh air. Mild temperament, even weepy, better consolation. Worse in the

evening. Almost all its aches, pains and other symptoms are better from gentle motion,

continued motion.

Pulsatilla is the best remedy for what the laity call "a ripe cold. So aptly does the term

express the totality of the symptoms of Pulsatilla that I have many times prescribed it

with success for this condition in the last stage of acute influenza, without seeing the

patient. Also useful for chronic catarrh of the nose with one modality to which I will call


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you attention, viz., "better in fresh, cold air." That refers to stopped up condition of nose.

When the Pulsatilla patient goes out into the cold, fresh air the nasal discharge becomes

thinner and freer. This relieves the "stopped up" condition and the headache caused by

it. Royal

Attack comes on after getting wet and getting wet feet. Shivers up and down the back,

with high température—feeling of cold water pouring down the back. There is much

catarrh and congestion in back of nose and throat, and the patient feels worse in a

warm, stuffy room; prefers fresh air; is worse in the evenings; high temperature with dry

mouth and no thirst. Shepherd

Fluid or dry coryza, loss of taste and smell; sore nostrils, wings raw; later yellow-green

discharge; cough day and night, especially when lying, with distress in bowels and

mucous diarrhea. Lileinthal

Again in "La Grippe" Pulsatilla should be studied. In my own case, in 1890, the

backache, restlessness, and severe headache are still remembered.

The physician who was called to prescribe for me gave me Rhus Tex., 30. During the

day three other physicians came to see me about my patients. Two of the doctors were

looking after some of my work, and the other had been called in consultation with me

that day regarding a case. They came at different times and all said Rhus Tex. was my

remedy. I kept on taking it until late in the evening when the remedy was changed to

Pulsatilla 200, and relief began soon after the first dose, and rapid improvement ensued.

Rhus tox., I believe, is often given when Pulsatilla would be more homoeopathic.

Since my own case, I have often used it according to its indications in La Grippe, and it

has done splendid service. BG Clark from NYC

Rhus toxicodendron

Can be called at different stages of the flu. Its symptoms are unmistakable: Aches and

pains better from warm application and worse from cold applications and cold air; better

from continued motion, but fist motion. Must change position often. Worse during the


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change of position, but better afterward, but for a short time, let’s say 10 minutes; the

achiness augments slowly and must again move position.

Copious coryza with redness and edema of throat, sneezing and coughing; edema

glottidis; puffed, translucent uvula; pharynx and larynx feel intolerably raw and rough, full

of vesicles; dry cough, agg. from evening till midnight and from uncovering the body;

severe aching of all bones; tearing pains down thighs during stool; general debility.

Lilienthal

USEFUL IN INFLUENZA, WITH ACHING IN THE BONES, SNEEZING AND

COUGHING; DRY COUGH; BRONCHIAL COUGHS OF OLD PEOPLE; AND TYPHOID

[in a collapse state] PNEUMONIA. Dunham

Aching in all limbs; worse on beginning to move, very restless, has to go on moving, if he

keeps still the pain and aching gets worse; cannot find a restful place in bed. Tongue

coated, with a red triangle at front of tongue. Shepherd

Influenza, air-passages seem stuffed up, aching in bones, sneezing and coughing,

worse from uncovering body, arising from exposure to dampness, dry, hard, tickling

cough, worse evening until midnight, stiffness in back and limbs. Hering

Sabadilla

Epidemic influenza: Dullness of head; great sleepiness during day, chilliness, shivering

and horripilations, particularly toward evening, chilliness running upward, from feet to

head, lachrymation and redness of eyelids, pressure in eyes, particularly when moving

them and when looking upward, pressing headache, particularly in forehead, sore pain in

tongue, which is covered with a thick yellow coating, pain in tongue extends into throat,

difficult deglutition, frequent sensation as if a skin were hanging loosely in throat, bitter

taste in mouth, complete loss of appetite, nausea, dryness of mouth, thirstlessness,

constipation with rumbling of flatus or diarrhea of brown fermented stool, which floats

upon the water, urine yellow and turbid, cough with vomiting, headache, sharp stitches in

vertex, pain in region of stomach, hoarse cough, often with hemoptysis, painful paralytic

weakness of limbs, particularly of knees, all the symptoms worse from cold, aggravation

toward afternoon, reaching its height in evening, heat of face with chilliness and


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coldness of limbs or chilliness running up back, returning every ten minutes, skin dry as

parchment, sleep restless, disturbed by anxious dreams, cough immediately on lying

down. Spasmodic sneezing. Fluent coryza. Coryza with severe frontal pains and

redness of eyelids, violent sneezing, copious watery discharge from nose. Hering.

Sambucus

Cough: hollow, dry, at night, deep and dry before chill, with regular inhalations, but

sighing exhalations, suffocative hollow, deep, whooping, caused by spasm of chest,

expectoration of small quantities of tough mucus, only during day, suffocative with crying

children, worse about midnight, during rest, lying in bed, or with head low, from dry, cold

air.

After suppression of a fluent coryza, rough, hollow, deep, croupy cough, restlessness,

whistling respiration, as if throat were painful, head hot.

Dry, hacking cough during chill and heat. Hoarseness, rawness in throat and oppression

of chest. Woke at night with agony and fear of suffocation, springing up in bed and

struggling for breath. Hering

In Sambucus we have a great remedy, much in demand, for various types of respiratory

complaints, including influenza. The grand keynote of the remedy is to be found in the

edema and dropsical swellings in various parts of the body. Though the edema is

particularly seen in leg, in step and feet, it really is the secret of most of its respiratory

and laryngeal symptoms. It is mainly on account of this that the breathing is anxious,

loud, wheezing and crowing. The suffocative attacks that appear mostly at night time,

making the patient restless, fearful and tremorous, are to be accounted for by the

oedema of the respiratory channel. The child suddenly wakes up at night time, nearly

suffocates, and sits up in bed. He turns blue and gasps for breath which he finally

succeeds in getting. These are symptoms of asthma and Sambucus copes with them

successfully, specially when such attacks are mostly nocturnal and are brought about by

lying with the head low. Choudhuri

Sanguinaria


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I have found it meet a greater proportion of the tracheal and bronchial coughs of

epidemic influenza than any other remedy. The chief features are: Violent, dry cough,

wheezing, whistling, metallic, sputa almost impossible to raise.

I have seen several cases of this kind rescued from apparently imminent death by

Sang., the relief comes by the expectoration of a thick plug of mucus which was causing

suffocation, and which the patient was too weak to dislodge. Clarke

Violent dry cough, sensation of burning behind sternum, craves cold water, which soon

is vomited, fauces dark-red, not swollen, little or no fever, headache, almost crazy, eyes

look inflamed, upper lid swollen, open air relieves pain, vomits as soon as he drinks or

eats, sharp pain over right eye. Fluid coryza alternating with stoppage, eyes painful to

touch, soreness in throat, pain in chest, cough and finally diarrhea. Loss of smell and

taste. Smell in nose like roasted onion, wheezing, whistling cough and finally diarrhea

which relieves the cough. Hering

Frequent attacks of acrid, fluent coryza. During influenza, when there is much soreness

in the roof of the mouth, extending to the pharynx, right side of throat and even down to

the lungs, as if parts had been scalded or burnt, Sanguinaria is very apt to be the

remedy. If, with the burnt feeling, there is rheumatic soreness of the muscles of the

palate, much dryness down the air passages, loss of taste and smell, Sanguinaria is

doubly well indicated. Leonard

Loss of smell; Influenza; Coryza, with rawness in the throat, cough, and pain in chest;

frequent sneezing; Fluid Coryza; Smell in the nose like roasted onions. Buck

Senega

Constant tickling and burning in throat and larynx, leaving patient not a moment's rest

and preventing him from lying down, fear of suffocation.

Grippe with stitches in right eye when coughing.

Constant burning and tickling in larynx and throat, with danger of suffocation when lying,

copious expectoration of tough mucus, relief by outdoor exercise. Copious accumulation


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or tough mucus in air tubes which causes the greatest often ineffectual, efforts at

coughing and hawking for its expulsion. Hering

Sticta pulmonaria

Severe dry, racking cough, worse evenings and at night, can neither sleep nor lie down).

Now, take this group of symptoms as we have recorded them, and you cannot fail to

observe a vivid picture of influenza as we so frequently meet with it in this latitude.

The cough of this drug is always dry, and invariably worse at night, preventing sleep. It is

noisy and racking, accompanied with a splitting headache in frontal region. The tickling

which causes the cough is so incessant that the patient soon shows sign of being

completely worn out, and if not speedily controlled in some cases, becomes croupy in

sound; can neither lie down nor sleep on account of it. (Must lie down with the

headache, but cannot with the cough.) CC Smith

Constant need to blow nose, but no discharge results on account of dryness.

Excessive and painful dryness of mucous membrane, secretions dry rapidly, forming

scabs difficult to dislodge. ∞ Influenza.

Nose is stuffed up, nasal secretion drying up so rapidly that it cannot be discharged.

• Almost incessant sneezing, with a feeling of fullness in right side of forehead,

extending to root of nose, tingling in right side of nose.

• Desire to put finger in nose to clear out gluish secretion.

Acute coryza with fever.

Influenza: excessive and painful dryness of mucous membrane, secretions rapidly dried

and formed scabby concretions, requiring great effort to discharge them, soft palate felt

like dried leather, making deglutition painful, irritation in chest, more in evening and

night. Hering

Veratrum album


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Here is a remedy that has a characteristic " Cold sweat on the forehead." It makes no

difference whether it is cholera, cholera infantum, pneumonia, asthma, typhoid fever or

constipation; if this symptom is prominently present, and the patient is in anything like a

faint, collapse, or greatly prostrated condition, Veratrum album is the first remedy to think

of. It is one of Hahnemann's trio of remedies for Asiatic cholera, Camphor and Cuprum

metallicum being the other two; and today his indications for its use stand as true as

when he first gave them to the profession. It abides the test because it is founded upon a

natural law of cure, which is the same "yesterday, today, and forever."

If we were to describe in one word the general condition, as near as possible, for which

this remedy was best, it would be collapse. Let me quote: "Rapid sinking of forces;

complete prostration; cold sweat and cold breath." "Skin blue, purple, cold, wrinkled,

remaining in folds when pinched." "Face hippocratic; nose pointed." "Whole body icy

cold." "Cold skin, face cold, back cold." "Hands icy cold." "Feet and legs icy cold." (Icy

coldness of surface, covered with cold sweat, Tabacum.) "Cramps in calves." All these

are verified symptoms, and show to what an extreme degree of collapse a case may

come and yet be cured. This condition may be found in rapidly progressing, acute cases

like cholera, or it may be found in suppressed exanthemata; or, again, in the course of

bronchitis, pneumonia, typhoid or intermittent fever. No matter where found, or in

connection with whatever disease, if this collapse is present, and especially if the grand

keynote, " (cold sweat on face and forehead," is present, we may give this remedy with

full confidence that it will do all that can be done and much more than the old school

system of stimulation with alcoholics. In choleraic diseases Camphor comes nearest to

Veratrum, but with Veratrum the stools are profuse and like rice—water, while they are

scanty or entirely absent with Camphor. The pains of Veratrum are very severe

sometimes, driving the patient to delirium. It is said to be a good remedy for rheumatism,

which is worse in wet weather and which drives the patient out of bed (Ferrum met.).

Veratrum is a remedy of wide range, because it covers a condition. (Nash)

Belladonna

During the Asian flu epidemic of 1957, I visited over four hundred cases. A Ministry of

Health circular warned us what to expect. It was a classical description of a Belladonna

proving. My only addition to this excellent remedy picture would have been to include


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photophobia and conjunctival injection. Of the patients I visited, one half had already

been taking the fever pills as indicated, with considerable relief. I found that Belladonna

not only rapidly reduced the temperature but also controlled the abdominal spasms and

afternoon pyrexia which often persisted for a week or more as sequelae. I was able to

verify that high potencies were far more effective than low, and when my supply of a

remedy was running out I got the patients to dissolve two pills in a glass of water and

take dessertspoonful doses, which worked very well. Four of my own children went down

with the flu, in each case their temperature exceeded 40°C (104°F). Belladonna 200c

quickly brought them out of their delirium and cooled them down. We did not have a

single night up with any of them.

In the circular referred to above it was stated that 'the temperature would rise rapidly to

103-104°F (39.5-40°C) and remain up for 48-72 hours'. In no case that I treated did the

temperature remain as high as that for more than a few hours after administration of the

homeopathic remedy.

I will quote two examples. In the early weeks of the epidemic, on my half-day, I received

two similar calls from the same outlying district. In each case the husband phoned for his

wife, who was very feverish and restless. In both cases they thought they had fever pills

somewhere in the house, and agreed to go on giving them until I called. When I arrived

late that evening at the first house I found the woman had had a good sweat and was

cool. She had only taken fever pills. At the second house, the woman lay in bed, restless

and panting for breath, with a temperature of 106°F (41°C)—the highest I recall having

seen except in terminal conditions. The husband said that he had found the fever pill

bottles were empty, and he was about to send for me. To complicate matters, his wife

could not tolerate aspirin in any form. In this case I gave Aconite 10M every half hour in

view of her restlessness. I left at 10p.m. and saw her next day at noon. She had a

restless night, but her temperature was down to 100°F (37.8°C). She was feeling much

better now, and wanted to sleep. Next day she was apyrexial. I wonder what

conventional medicine could have offered in this case apart from tepid sponging. Jack

Tuberculinum


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“In pneumonia the first remedy I think of is Bacillinum, unless there is plain indications

for another, and in many cases even where Aconite, Bryonia, Belladonna, or some other

remedy leads in the acute turmoil, I find Bacillinum soon comes in to rapidly finish the

attack in very many cases. Since I have adopted this plan, it is seldom a case goes

beyond the first stages when called in time, the cough loosens up, the pain subsides,

and the lungs are very rapidly freed from the accumulation and inflammation. In old

people it acts like a charm. Most cases are convalescent in less than a week. Of course,

I do not mean Bacillinum is a specific remedy for every case, but in those cases where

the indications are not well marked and as a finisher of the case it is useful. The bovine

form of this remedy had promptly relieved the incipient stages of hip joint disease. That

of the fowl is often curative of the results, especially where the lungs are involved, of

poorly treated cases of grippe or influenza.” Yingling

Adaxukah:

Lately, a number of grippe cases were puzzling. They seemed to be something like

Gels. and something like Rhus but not like either, wholly. Then the proving of Adaxukah

came to mind. The result was magical.

Heaviness and aching and sleepiness; eyes feel big and heavy, desire to keep the lids

closed. Appearance of sopor; eyelids closed and body motionless but mind and senses

clear and open, dreads to move, lies still and aches; the more she aches the more she

dreads to move though knowing that motion relieves; aches all over, heaviness and

aching, heaviness of parts.

Irritable; wants to be let alone, averse to any attention; such.heaviness of body and

spirits that she objects to being disturbed. Royal Hayes

Other influenza remedies

Ammonium carbonicum: Burning water from nose in daytime, dry coryza at night;

cough after midnight with tickling in larynx and headache; chronic weakness of chest;

pain in all limbs at night, especially back and loins, agg. lying on abdomen; constant

tingling in nose and disposition to sneeze; the least breath of cool air aggravates and

brings on sneezing. Lilienthal


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For the persistent cough that may be left by Influenza; which should yield to Bryonia,

but may fail to do so.

He says, "Since my own experience with Ammonium carbonicum I have used it in many

cases, especially those of children, with much success. It has cured the cough of

Influenza when everything else has failed, and I have more than once not found it

necessary to give a second dose. Tyler

Cough in the morning at 3 or 4 o'clock, or at night disturbing the sleep, with spasmodic

oppression; incessant cough, excited by a sensation as of down in the larynx,

aggravated after eating, talking in the open air and on lying down; the paroxysms of

cough are followed by a high degree of exhaustion, especially when complicated with

coryza and influenza.

Pneumonitis.—In the Pneumonia of old people, with the characteristic cough

symptoms, we have found Ammonium carbonicum of considerable benefit. It is a

remedy too apt to be overlooked. It meets those cases with copious expectoration, and

incessant cough, excited as if from down in the larynx, and greatly aggravated at 3 or

four AM. Hoyne

Antimonium tartaricum

This drug exercises a specific influenza upon the mucous—membrane of the air—

passages, producing among other effects, sneezing, fluent coryza, chilliness, loss of

taste and smell, and irritation of the Schneiderian membrane. Experience has proved it

useful in influenzas and ordinary catarrhs. Marcy

Great prostration, lassitude and sluggishness of body with bad humor.

Prostration and collapse. Thick, white or bilious fur on tongue, with retching of phlegm,

nausea and vomiting. Stiff neck. Pressing pain in forehead with vertigo, stupor and

dulness of head, slightly delirious, drowsiness, but cannot sleep. Sensation of emptiness

in stomach. Cold sore around mouth. Shooting in chest. Great apathy, alternating with

restlessness in night. Skin chilly, with very copious sweats, which do not relieve. Hering

Alternating heat and chills, feeling of great bruisedness, rheumatic complications.


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Oppression of breathing relieved by expectoration; much fatiguing cough, most nights,

shaking the whole chest and causing headache, most in forehead; constant irritation to

cough, with brown expectoration of sero—albuminous fluid; aphthae around mouth; flat

or bitter taste; thick, white or bilious fur on tongue, with retching of phlegm, nausea and

vomiting; loss of appetite without much thirst; sensation of emptiness in stomach.

Lilienthal

INFLUENZA. Hirschel gives the following group of symptoms as characteristics of the

epidemic influenza of 1834, in Germany:

Rheumatic pains in the limbs and extremities; stitches in the chest; oppression on the

chest, relieved by expectoration; irritation inducing cough, with moist serous—

albuminous expectoration; racking cough, especially at night, causing frontal headache

and racking the chest; aphthae around the mouth; thick, white or bilious coating of the

tongue, with hawking up of mucus; nausea, vomiting, pasty or bitter taste, anorexia, not

much thirst, empty feeling in the stomach; pressure stitches, bloating of the

hypochondria, especially of the liver; diarrhoeic stools, consisting of mucus, not copious;

frontal headache, with vertigo, stupefaction, dulness of the head, slight delirium, weary

feeling as from want of sleep, yet there was no sleep; apathy alternating with nocturnal

restlessness; exhausted feeling in the limbs, as if proceeding from the back; stiff neck;

pulse small, nervous; chilly creepings, with copious sweats. Hemple

Lassitude, with great sensitiveness to cold, with chilly feelings, partly tongue,

headache, inflammation of the throat, tonsil, arches of the palate or pharynx, short turns

of nausea, aching in the bones especially of the lower extremities, yellowness of the

skin, slight hoarseness, more or less fever—heat and sweats. The Antimony often acts

as a perfect remedy in the stage f incubation, especially in those cases which would of

themselves close this stage by profuse watery diarrhea and cramps. This stage, of which

the angina faucium, the chills and the bone—pains are the prominent sufferings,

subsides of itself in twenty—four to forty eight hours; but the disease, if it be a real

influenza, is not removed; it has only advanced a step beyond the period of incubation

toward the stadium of bronchitis, with its concomitant cough, dyspnea, fever—sweats

and prostration. The second or bronchial stage of the true influenza, having been


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successfully managed by Phosphorus or Bryonia, with the aid of Aconite and

Hyoscyamus, I complete the cure by a return to the Antimony; that is to say, when the air

passages are loaded with mucus, the cough frequent and the expectoration copious.

Hoyne

The cough sounds loose, and yet the child raises no phlegm. This symptom increases

until the child grows drowsy. Its head is hot and bathed in sweat. The cough then grows

less and less frequent, the pulse weak, and symptoms of cyanosis appear. In these

cases, the quicker you give Antimonium tartaricum, the better for your patient.

Antimonium tartaricum is also indicated in affections of old people, and particularly in

orthopnea, or threatening paralysis of the lungs in the aged. You hear loud rattling of

phlegm in the chest, and yet the patient cannot get up the phlegm. Here Baryta carb. is

complementary to Antimonium tart., and often succeeds when the latter remedy only

partially relieves.

In this threatening paralysis of the lungs you must compare Antimonium tartaricum with

several other drugs; with Lachesis, which has aggravation when arousing from sleep.

Carbo veg. also suits these cases, but there the rattling is accompanied by cold breath

and by coldness of the lower extremities from the feet to the knees.

Moschus comes in when there is loud rattling of mucus and the patient is restless. It is

especially indicated after typhoid fever. The pulse grows less and less strong, and finally

the patient goes into a syncope.

Also, do not forget Ammonium carbonicum in this condition.

Antimonium tartaricum produces a perfect picture of pleuro-pneumonia. Certain portions

of the lungs are paralyzed. Fine rales are heard, even over the hepatized areas. There is

great oppression of breathing, particularly towards morning. The patient must sit up in

order to breathe. It may also be indicated in bilious pneumonia, that is, pneumonia with

hepatic congestion and with well-marked icterus. The pit of the stomach is very sensitive


153

to touch or pressure. There are meteorism, nausea and vomiting. It may be used in the

pneumonia or drunkards with these complications. E. Farrington

Bromium

Fluent coryza, first the right nostrils is stopped up and then the left; frontal headache,

especially on right side, with pressure downward, as it the brain were forced down

through the nose; short, dry hacking cough, with difficulty of breathing, which is short

and hurried. Lilienthal

Acute coryza with much sneezing, burning in the nostril, even bleeding of the nose, and

sensation of the air breathed being very cold though the season is hot, will be amenable

to this remedy. This coryza may be accompanied by pyrexia and prostration, and the

remedy has been found useful in influenza. The muscular pains of the drug in the dorsal

and lumbar regions and the "chills running down the back" to the legs would be

additional features calling for its use in influenza, when the stress of the disease falls on

the larynx, or occasionally when the lungs are affected. The pains and chills are both

worse from walking or moving about. Neatby


Cough—Predominantly loose, with coarse rattling of mucus, which is often difficult or

impossible to raise. Bronchia and chest seem loaded with it. Seems as though a cupful

would be expectorated with each cough, but little comes up. Aggravation—worse as the

accumulation increases and when lying down. Amelioration—better on expectoration

and on sitting up. Accompanied by—Yawning, dozing and sleepiness; cyanosis from

carbonized air; twitching; short breath from suppressed expectoration; coarse rattling of

mucus; hepatization. Nash

Carbo vegetabilis

Influenza, with hoarseness in the morning or at night, agg. in damp, cool weather, from

damp evening air and from talking; irritation in larynx causes sneezing; soreness of

chest and heat of body when coughing. Lielienthal

In catarrhs attended with a characteristic hoarseness in the morning or at night, Carbo

veg. is often beneficial. The influenza in the autumn of 1834 generally yielded either to


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Hepar sulph. or to Merc. viv.; but when the hoarseness just mentioned remained or

recurred after a new cold, it was removed by Carbo veg. Irritation in larynx causes

sneezing. Hering

Grippe : Hoarseness in the evening, worse after talking or in damp and cold weather;

with asthma. Loss of voice in the morning. Catarrh, which almost brought on a complete

loss of voice. Hoarseness and roughness of the larynx. Roughness in the chest and

frequent irritation as if one would cough; with dry cough evening and morning.—Violent

tingling in the throat. Tingling and itching in the larynx, with wheezing breathing and

tightness of the chest. Dry cough after every expiration, accompanied by a flush of

warmth and sweat. Cough after the slightest cold, in the morning when rising from bed,

or when leaving a warm room and entering a cold one. Repeated fits of nightly cough,

with a constantly returning irritation to cough. Short cough in the evening. Every day

three or four turns of a spasmodic cough. Fatiguing cough. Jahr

Causticum

From the start sensation of weakness and paresis in all extremities; total loss of appetite;

unilateral, nervous frontal headache; eyes sensitive to light and heat; lachrymation in

room, worse in open air; frequent sneezing, agg. mornings; nose stopped up at night,

running by day; facial neuralgia; cough, with sensation as if he could not cough deep

enough to start mucus, waking him from sleep in evening and morning, agg. from

draught of air; tired sensation, limbs as if beaten; rheumatic pains; intolerable

uneasiness in limbs, in evening; chest feels raw and excoriated. Lilienthal

Influenza, particularly when epidemic, suggests this drug, if there is great rawness of

the throat and chest when coughing, hoarseness or loss of voice; involuntary discharge

of urine during the cough. Hoyne

Cimicifuga

It is to be studied in those cases of ACUTE CATARRHAL FEVERS LA GRIPPE and

INFLUENZA or acute inflammatory troubles of various characters when there is a tired

feeling with aching and soreness of the muscles. These cases usually begin with a chill

or chilliness which is followed with more or less fever and aching. It will be found a

valuable agent in the relief of the cough which attends many of these cases.


155

The cough it relieves may be due to a BRONCHITIS or one that is reflex from uterine

disturbances or nerve irritations, or rheumatic carditis and pericarditis, when there is the

pain and mental conditions that are characteristic. Blackwood

Rheumatic, catarrhal attacks, with pains in limbs, head, face, eyeballs; chilliness; heat

and fluent watery coryza; stuffed nostrils, with great sensitiveness to cold air, as if the

base of the brain were laid bare and every inhalation brought the cold air in contact with

the brain. Lilienthal

Flu epidemic. There is one thing I was greatly surprised to find entirely omitted in all the

papers; no one says a word about the use of Cimicifuga in cases of grippe. Why it

should be so overlooked I do not understand, as it has been my most important

remedy in all epidemics for the last ten years. I find in its provings every feature and

symptom ever given in the descriptions of the grippe, either expressed or implied.

While I have used all the remedies reported by the others, I find that Cimicifuga is the

indicated and curative remedy in about five-sixths of the cases I have met with since

1888, also that very often it is the epidemic remedy for several weeks at a time. A few

words as to how I use it may not be out of place, as I am greatly desirous that all

physicians should know the value of this remedy.

If I see the patient early in the case and find Cimicifuga is indicated, I give it in M or CMf.

The patient is generally well in as many hours as have elapsed between the attack and

the time I was called. Of course the usual debility follows, which is natural after such

intense vital depression and exhaustion.

When the case has been going on for several days, I have found it better to use the

remedy in a lower potency, say, about the 200th. At this stage, the disease eats up the

remedies very fast. I can seldom get one to work for more than twenty-four hours and

generally have to repeat each day.

Perfect rest in a warm bed, with a well-ventilated room, greatly facilitates the breaking up

of the disease as well as the recovery from the exhaustive condition following. I have


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found Natrum arsenicum to be a valuable aid in old, badly treated and neglected cases;

generally calls for 200th, one dose a day for several days, but sometimes a single dose

given high will work wonders. Morgan 1899-1900

Conium

During the epidemic of influenza which prevailed in Chicago in the winter of 1889—'90

many cases occurred in which Conium was the specific remedy, not only for the

epidemic itself, but also for complications which attended and for the results than

followed.

Most of the cases were taken with frequent slight chills and a rapid rise in temperature,

attended by sudden and severe prostration, or in other instances by violent pains in the

back and limbs.

These symptoms were accompanied either by violent catarrhal symptoms involving the

air passages, and by a painless cough with dyspnea, or in the absence of these

symptoms by a remarkably rapid and weak pulse.

In the cases observed the digestive organs, as a rule, were but little disturbed; while in

every case there was a notable derangement of the genito—urinary functions, shown by

excessive urination followed by partial suppression. Woodward

Convalescence from acute diseases: Psychic and physical depression after influenza.

Chronic fatigue after influenza. MMPP

After influenza: cough coming with no regularity, but more frequent at night than at any

other time and continuing until retching and vomiting occur, expelling a small quantity of

frothy mucus with a yellow nucleus. Hering

Also our dear colleague and friend Farokh Master recommends:

SOLANINUM ACETICUM

This remedy was introduced to me when I was reading Materia medica of Dr Margret

Tyler, since then I have used this remedy for last 40 years with excellent results

especially when the mucus gets clogged up into the fine bronchioles thereby producing

Adult Respiratory Distress Syndrome(ARDS).


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The symptoms that I have added in software Radar have been confirmed by me in cases

of pneumonia and ARDS. I feel we can apply this in cases of terminally ill last stage

Covid-19 patients

CLARKE

An alkaloid obtained from various Solanums, especially S. dulcamara and S. nigrum;

also, from the Potato plant, S. tuberosum.

Respiratory organs:

Hoarseness.

Respiration: slow; superficial; difficult; oppressed; distressed, esp. on inspiration.:

Decreased frequency of respiration in inverse proportion to increase of pulse.

Moist rattle during inspiration.

Frequent violent outcry (from action on medulla oblongata).

Masses of mucus in larger air-passages (postmortem).

Paralysis of respiration.

Chest:

Convulsions of muscles of thorax, with which were soon associated tonic spasms of

extremities, at first gentle, gradually increasing, and a short time before death suddenly

attaining an enormous height; agg. by touch.

Heart:

Pulse: increased in rapidity; weak; thready.

Pulse and respiration slowed.

Increased pulse rate; respiration slowed.

Post-mortem, rigidity of heart muscle, all its cavities full of dark, cherry-red coagulated

blood.

BLACKWOOD

This remedy has some reputation in albuminuria, but its field of usefulness is in

threatened paralysis of the lungs in the aged and in children; Old people have to cough

for a long time to raise the sputum.

My addition in radar Program are:


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• CHEST—ATELECTASIS

• CHEST—CONGESTION—Lungs

• CHEST—CONGESTION—Lungs—passive congestion

• CHEST—DROPSY

• CHEST—EDEMA; PULMONARY

• CHEST—EFFUSION

• CHEST—EFFUSION—Pericardium

• CHEST—EFFUSION—Pleural exudate

• CHEST—HEART failure—accompanied by—Lungs; edema of

• CHEST—INFLAMMATION—Bronchial tubes

• CHEST—INFLAMMATION—Bronchial tubes—accompanied by—violent

complaints

• CHEST—INFLAMMATION—Bronchial tubes—acute

• CHEST—INFLAMMATION—Bronchial tubes—bronchopneumonia

• CHEST—INFLAMMATION—Lungs—gram-negative bacilli

• CHEST—INFLAMMATION—Lungs—klebsiella

• CHEST—INFLAMMATION—Lungs—old people

• CHEST—INFLAMMATION—Lungs—paralysis, approaching

• CHEST—INFLAMMATION—Lungs—viral

• CHEST—MUCUS—Bronchial tubes

• CHEST—MUCUS—Lungs

• CHEST—NOISES—abnormal

• CHEST—NOISES—rhales—lungs—base

• CHEST—PARALYSIS—Heart

• CHEST—PARALYSIS—Lung

• GENERALS—PULSE—frequent

• GENERALS—PULSE—slow

• GENERALS—PULSE—small

• RESPIRATION—ACCELERATED

• RESPIRATION—SLOW

• RESPIRATION—SUPERFICIAL


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Materia medica of the pneumonia remedies

The main first stage remedies

Aconitum napellus

Chills followed by synochal fever, high temperature, quick pulse, general dry heat, dry

skin, with great restlessness, Fear and agonized tossing about. There is generally short

dry cough, even croupy (in children), and such cases are more often apt to occur after

exposure to dry cold air. It is best adapted to sanguine, full blooded subjects. Acute

bronchitis.

Aconite if there is great restlessness and fearfulness.

Aconite will relieve nine—tenths of the cases of catarrhal laryngitis or croup as it occurs

in our northern latitudes. It generally occurs as the result of exposure to dry, cold air,

attacking the child in the evening or first part of the night with great excitement, high

fever, tossing and gasping for breath. A little of the 12th or 30th dilution in water in

teaspoonful doses once in ten or fifteen minutes, until the child becomes more quiet, and

then at longer intervals until the fever subsides, will be all that is necessary if

administered early in the disease. If, however, the cough persists with a rough, croupy

sound, as of a "saw driven through a pine board," and the stridulous breathing continues

between the paroxysms Spongia is apt to be the next remedy. If the cough becomes

more rattling, but still croupy, as if the mucus would come up but does not, and the

aggravations are in the latter part of the night or morning, and especially if all the

symptoms are made worse by cold air striking the patient, Hepar sulphur comes in.

These three were Boenninghausen's great remedies, and with them he had success

never before his time attained. He gave them in the 200th. They are still as useful as

then, and must always be, because Homoeopathy is always the same. But there are

cases that will not respond to this treatment, which proves that routinism won't do.

Aconite has a decided and positive action on the larynx. Aconite is often indicated in the

acute form, brought on by exposure cold dry air, most works say cold west winds, and

that depends on whether you are living on the Atlantic shores or the Pacific. Cold dry air

is better; chill or chilliness, followed with fever, with hot, dry skin, great restlessness,

impatience and fearful anxiety. The child wakes up in the night with croupy cough and


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breathing; pain in the larynx and anxious suffocation. With this remedy most cases can,

if taken early, be cured in a short time or so modified that other remedies easily finish up

the case. This is of course in cases uncomplicated with specific Miasms. Laryngitis.

Aconite, if there is a history of chill in cold dry air. The chill is generally pronounced and

is promptly followed by high grade inflammatory fever, great heat, dry skin, intense thirst,

restlessness, fear and anguish, patient tosses about in agony with loud complaints. The

expectoration with the cough is tenacious and lumpy, of dark cherry red color. Now if

Aconite is exhibited in potency from the 6th to the 30th, of repeated, there will generally

follow profuse perspiration and amelioration of all the other symptoms. But if such is not

the case after twenty—four hours. Pneumonia.

In pleuritis, if it is ushered in by one, or repeated chills, and especially if it occurs after

exposure to dry cold air, followed by high fever, great thirst, quick pulse, dry hot skin,

anxious restlessness, agonized tossing about, sticking pains in chest, dry hacking

cough, Aconite is the remedy. If this remedy is given in the 12th or 30th once an hour to

three hours, according to violence of the symptoms, it will often check the disease in

from 24 to 48 hours.

Is adapted to such suffering from exposure to dry cold air. Chill or coldness followed by

fever heat and restlessness, headache at the root of the nose, not much coryza as yet;

or habitual coryza suppressed; burning and pricking in the throat and Eustachian tubes

are symptoms commonly found indicating this remedy. If given early in frequent doses

for an hour or two the fever will abate and be followed by perspiration and general relief

of all the symptoms.

Cough—Generally dry short, clear, ringing, whistling or croupy. Excited, or worse in the

evening; at night during expiration; dry cold winds or currents of air; deep inspiration;

smoking or drinking. Ameliorated by nothing marked. Accompanied by short breath,

stitching pains, fever, restlessness and agonized tossing about. In a general way Aconite

is mostly indicated in the first stage of all acute inflammatory diseases of the respiratory

organs. But unless the concomitant symptoms, especially FEARFUL restlessness, and

agonized tossing about, as well is high temperature and rapid pulse are present, the


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Belladonna or some other remedy having equally intense inflammatory symptoms may

have to be preferred. Nash

Bryonia

Rusty color sputum is a keynote of Bryonia in pneumonia. Very painful cough. Chest

pain worse breathing and cough, better with the pressure of the hands. Holds the chest

when coughing. Very thirsty. Aversion to move, because worse from slight motion. Better

when totally at rest, and therefore may not drink often despite great thirst.

Cough—Predominantly dry, but in pneumonia sputa tough and hard to separate, falling

in a jelly—like lump, light in color, or of a soft brick shade.

Cough aggravated by—worse motion; eating or drinking; coming from cold air into warm

room; on breathing deeply.

Ameliorated by—worse perfect quiet; pressing hand upon chest, lying on painful side.

Concomitants—Stitches in chest; pain in head as if it would burst, pain and soreness in

chest, must support it with hand when coughing. Constant disposition to expand the

chest or sigh deeply. Short breath worse on motion; pleuritic stitches worse on motion

and inspiration; effusions into the pleural cavity; stitching pains in region of heart;

generally worse on motion.

In acute inflammations of the respiratory organs Bryonia is not so often indicated in the

first or congestive stage as Aconite, Belladonna or Ferrum Phos., but rather in the

second stage when effusion, hepatization or the products of inflammation are appearing.

Then it becomes the prime remedy if the symptoms characterizing the drug appear. In

coughs which persist after the inflammatory stage is past, or in which this state was not

very pronounced, it is still one of our best remedies. Cough worse by coming from cold

air into warm room is characteristic (Nat. carb.) and the soreness of the chest also

(Caust., Eupat. perf. and Nat. sul.). Stitches in chest finds a remedy not only in Bryonia,

but in Kali carb. and Squills. The Kali carb. stitches occur any time and are not

necessarily worse on motion like those of Bryonia. In a general way the thirst, dry mouth


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and lips and dry, hard constipation, as well as worse of all symptoms on motion are all

corroboratory for Bryonia.

Bryonia is very often indicated after the remedies for the stage of engorgement have

done all they can. It is especially in cases of pleuro—pneumonia that it is most useful.

The fever still continues being only partially controlled by the former treatment, the

breathing is short, expiration shorter than inspiration, the patient wants to lie perfectly

still on the painful side, as the least motion aggravates all the symptoms; there is great

thirst for large draughts of water, with corresponding dryness of mouth, and lips, which

are dry and cracked, or parched (only exceptionally there is no thirst), the expectoration

is generally tenacious and sometimes falls in round jelly—like lumps of a yellow or soft

brick shade. It is the stage of the exudation, or the second stage of the inflammatory

process, and if given in nick of time, in not too low a potency, say, 12th to 200th, will

often finish the case, promoting absorption and all. If it does not complete the case, but

has well started it toward cure, no remedy follows it so well (generally) as Sulphur, which

will often do the rest and prevent chronic conditions following. The pains of Bryonia are

characteristically Stitching pains, which, occurring as they do in serous membranes,

show that the pleura is involved. Pneumonia.

Bryonia may follow Aconite or Nux vom., if notwithstanding these remedies the nose

remains dry and obstructed, and the headache over the root of the nose persists and is

greatly aggravated on motion. The lips are parched and dry, and there is much thirst. If

the first stage is passed and the fluent coryza has set in another class of remedies

comes in, such as –

Bryonia alba stands about midway between Eupatorium and Gelsemium. Like them it is

better when quiet and greatly aggravated on motion, the face turns pale on rising and he

faints or is nauseated, and stitching pain in various parts are prominent. It must come

early into the case if there are the stitching pains in the pleura.

If we are called in too late and the stage of effusion has begun or the Aconite does not

remove all the trouble the next remedy is generally Bryonia when the sharp stitching

pain continues and the thirst and fever also; the pain and suffering is aggravated on the

least motion, and the patient feels better lying on the painful side; the tongue is coated


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white. No remedy acts more positively on the serous membranes and it may finish the

case, even to promote the effusion, which Aconite could not do. Pleuritis.

Jahr wrote in his Practice—" if the cough is quite dry I give to women Bryonia and Nux

vomica to men, according to circumstances." Ah! that last " according to circumstances "

is the saving clause. Jahr was a master and knew better than to rest his case on a few

routine remedies. No more can we. Bryonia is one of the first remedies if, as the exciting

cause of an incipient tuberculosis in a patient predisposed thereto, a Pneumonia,

especially a pleuro—pneumonia, has been suffered. And it is on what are called

pathological as well as symptomatological indications that we may, or must, base our

choice. The hepatized lung does not clear of the exudate, or the pleuritic effusion has

been imperfectly absorbed, or not at all. Many forms of Phthisis commence in this way. If

the proper remedial treatment is applied early we will not have these plastic exudates to

deal with; but many times we are called too late to do so. So we must do the best we

can at the later stages. The cough remains and may be still dry and painful, causing the

patient to hold the chest with the hands. It hurts the head to cough, and is always or

nearly so, worse on motion, or coming in out of cold air into a warm room, or after eating,

causing retching and vomiting. Stitching pains in chest are more pronounced during the

acute pneumonia or pleuritis, but may still continue in a greater or less degree. The

appetite is poor, but there is often much thirst for large quantities at long intervals, and

the lips are dry and parched and sometimes cracked. This shows a lingering internal

fever. Other symptoms and a number of them may be present for this so well known

remedy. A knowledge of the pathogenesis of the drug will disclose them. The

aggravations are worse on motion; exertion; AM; hot weather; rising up from lying (gets

faint); going from cold into warm room. Ameliorated by lying on the painful side;

pressure, rest; perfect quiet; cold and eating cold things.

Still elevated temperature, great thirst, mouth dry and lips parched, short respiration, dry,

hard cough, which hurts the head and chest, splitting headache, and all symptoms

greatly aggravated on the least motion, wants to lie perfectly still. It is especially

indicated if the trouble extends downward, threatening the lungs and pleura. Acute

bronchitis.

Gelsemium


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Congestion pneumonia, with suffering under scapulae, both sides, caused by checked

sweat, short paroxysms of pain superior part of right lung, on talking a deep breath,

pulse slow, full. Hering

With this remedy the general prostration is very marked; wants to lie perfectly still, and

trembles from weakness with the least exertion; even the hands tremble when lifting

them up; the eyelids droop from weakness. It seems almost a semi—paralytic state.

There is fever, but little or no thirst, the tongue trembles when protruding it. The

sensorium is in accord with the general weakness; blunted, but little or no delirium. Nash

Ferrum phophoricum

Ferrum phosphoricum seems to me to stand midway between Aconite and Belladonna,

for while it does not present the excitement and fear of Aconite, on the other hand it

does not produce so strong brain symptoms as Belladonna. I have found it of most

service in pale anemic subjects, who are subject to flushes of heat and redness of the

face, and to local congestions generally. It certainly does fine work in such subjects in

this stage of the disease.

Chills followed by synochal fever, high temperature, quick pulse, general dry heat, dry

skin. There is generally short dry cough. If such an attack should occur in a delicate,

pale or weakly subject Ferrum phosphoricum would generally do good work. With

Ferrum there is not so much of the nervous excitability as with Aconite, but the fever is

very great and congestion to the lungs more liable if anything. Nash

Veratrum viride

I wrote in "Leaders" that at one time it had a great reputation in the first or congestive

stage of inflammatory diseases, and especially in those organs coming under control of

the pneumo—gastric nerve, viz., pharynx, oesophagus, stomach and heart. For a time

the journals fairly bristled with reported cures of pneumonia, and its curative power was

attributed to the influence of the remedy to control the action of heart and pulse. It was

claimed that if we could control the quickened circulation so as to decrease the amount

of blood forced into the congested lung, that you thereby gave the lung a chance to free

itself of the existing engorgement. It looked plausible, and certainly in many cases

remarkable cures were effected, and that in a short time. I was a young physician and


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thought I had found a prize in this remedy. But one day I left a patient, apparently

relieved by it of an acute attack of pneumonia, to go to a town five miles distant, and

when I returned found my patient dead. Then I watched others so treated, and found

every little while a patient with pneumonia dropping out suddenly when they were

reported better. Now we don't hear so much of Veratrum viride as the greatest remedy

for the first stage of this disease. What was the matter? 1st. It was (like other fads) used

too indiscriminately. 2nd. It is not desirable (it is wrong) to control or depress the pulse

regardless of all the other conditions. 3rd. The patients who had weak hearts were killed

by this powerful heart depressant. A quickened circulation is salutary in all inflammatory

diseases, and is evidenced that the natural power to resist disease, is there and at work.

The pulse will come to its normality when the cause of its disturbance is removed and

should never be forced to do so until then. Here is a common fault of the old school,

notwithstanding their cry of " Tolle causam. " So I find fault with Guernsey's keynote,

"Great activity of the arterial system; very quick pulse." Next to Digitalis, Veratrum viride

slows the pulse, as is abundantly shown in the provings. If quick pulse is ever the result

of this remedy, it is a secondary or re—actionary effect, like the sleeplessness of Opium

or the constipation of cathartics. So it seems to me that as an antiphlogistic (forgive me)it

must go into the shade with the vaunted Digitalis. Gatchell writes (pocket book): "This is

the most important remedy in the stage of engorgement, to which its use must be

limited. In my own experience and in that of others. It has apparently cut short on coming

attacks of pneumonia. It must be given early, immediately following the chill. It is of no

avail after hepatization has begun. Again if it produces nausea, reduce the dose. Watch

the action to avoid cardiac depression. " I should object to the wholesale assertion that

this is the most important remedy, for the most important remedy is the

homoeopathically indicated one, and it is not Verat. viride always by any means. I fully

concur with him in the necessity of watching its action and for the same reason. I do

know of one good characteristic indication for its use, not only in congestion of the lungs,

but in other congestions also, viz., the well defined red streak running right through the

middle of the tongue. It has been repeatedly verified. So while it is true that it may be

able to cut short oncoming cases of this disease, I should be sure one of the other more

safe remedies was not indicated before I would use it, especially in weak heart cases.

Nash

The main second and third stage remedies


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CHEST; INFLAMMATION; Lungs; stages; secondary (11) : ant-ar., 2ant-t., ars., carb-v., 2ferr-p., iod., lach., lachn., lyc., 2phos., 3Sulph. CHEST; INFLAMMATION; Lungs; stages; consolidation (16) : ant-t., 2bry., calc., 2carb-v., 2chel., 2iod., 3Ip., 2kali-c., kali-i., 2kali-m., lachn., 2lyc., 2phos., sang., sulph., 2verat-v. CHEST; INFLAMMATION; Lungs; stages; resolution (24) : 2am-c., ant-s., 2ant-t., ars., ars-i., calc-s., camph., 3Cann-i., cann-s., carb-an., carb-v., 2hep., iod., 2kali-i., kali-s., 2lyc., nat-s., 2phos., 2sang., sep., sil., 2spong., stann-i., 2sulph.

Bryonia (see above)

Veratrum viride (see above)

Phosphorus

Phosphorus is especially useful when the violence of the croup attack has been broken

by some of the foregoing, but there remains a tendency to relapse; the child grows

worse again every evening, or the cough goes down in the tubes and lungs. It will often

clean up the case, in desperate cases where other remedies have failed in both forms of

croup.

Phosphorus is very different. There is greater oppression of the chest, feels as if there

were a load pressing it down. The parenchyma of the lung is the center of action and the

pleura not so much involved, if at all; the expectoration is often profuse, and when falling

on paper, on a hard surface, will break and fly like batter; the temperature is very high

with circumscribed red cheeks (Sang), cough hurts and makes him tremble and is worse

lying on the left side; the patient moans or grunts with every breath, and suppresses the

cough by it, just as long as he can because it hurts him so. Phosphorus attacks by

preference the lower right lung or lobe. It may be indicated by the symptoms at the

beginning of the stage of hepatization, when it puts a stop to the further progress of the

disease, but its more brilliant effect is when the stage of hepatization is completed and

we want to break it up and promote resolution. Here it has no equal. Under its action the

hitherto restless patient will, (in the 30th, 200th or 1000th potency), sink into a sweet

sleep, profuse perspiration will set in, and with the waking we are in full tide of

convalescence, the expectoration becomes free and easy, the mind tranquil, and, in

short, all the violence of the storm is past. Pneumonia.


167

Considerable "talk has been said" about this being, a dangerous remedy to use in

pulmonary tuberculosis or phthisis. Farrington says "I would not advise you to give

Phosphorus in well marked tuberculous patients. If tubercles have been deposited in the

lungs you should hesitate before giving it, unless the picture calling for it is so strong that

you cannot possibly make a mistake." I think the "picture" should be strong for any

remedy, and if not strong should be cause for hesitation. The greatest danger in giving a

well indicated remedy in tuberculosis in any stage of the disease is in giving it too low or

too frequently repeated. And this danger is not confined to Phosphorus. Rummel says

only once in fifteen days. Dr. Charge, of Paris, confirms him. But the safest rule is not to

repeat as long as improvement continues, and then in another potency. Now for a few

"leaders." This remedy is generally found indicated in tall, slender, narrow chested

persons, with fair, delicate skin, long silky eyelashes, highly sensitive organization;

brilliant mental faculties but defective physical development. Especially young persons

who have grown too rapidly, incline to stoop in walking (like Sulphur), hollow chested

and anemic or chlorotic. There is often pronounced nervous debility; trembling;

weakness and prostration. Hemorrhagic tendency, vicarious, epistaxis, or even small

wounds bleed much. Hemorrhage of the lung is sometimes the first symptom. Takes

cold easily and every cold inclines to settle on the chest, Pneumonia is easily contracted

and for its treatment, to save repetition, I will refer you to the article on that disease.

These are the general indications. The local are: Hoarseness, worse in the evening

(Carbo veg.). Cannot talk, the larynx is so painful. Breathing short, oppressed, sense of

heaviness in chest. Cough Dry constant, from tickling in the throat—pit, with tightness or

constriction across the upper third of chest; spasmodic, hollow, from tickling or irritation

under sternum; hurts chest, holds it with hands for relief (Bry., Eupat. perf), severe,

shakes the whole body; worse in cold air, from laughing, talking or singing (Spong.), and

especially when lying on left side, also apt to be worse in evening until midnight (Raue).

Expectoration scanty at first; in first stage; later, bloody, purulent, rust colored, salt, sour

or sweet. Of course there are many other symptoms that may be present, but these are

leading ones, and when present the remedy properly exhibited as to dose and repetition

is capable of great good, no matter at what stage of the disease.

Frequent blowing of blood from the nose; handkerchief is always bloody, chronic catarrh.

Chronic nasal catarrh.


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Hoarseness; lining of vocal cords highly injected, cough worse by talking, laughing,

singing, cold air or lying on left side; tickling in the larynx and spasmodic cough, followed

by dryness and burning in the throat. Laryngitis.

Larynx so painful he can hardly talk, which aggravates the constant cough. Trembles all

over with cough, and it is especially worse in the evening, and lying on the left side.

Cough hurts and the patient holds the breath and lets it out with a moan because it hurts

him so. There is great tendency to extend into the lungs with sense of oppression of the

chest. (See Pneumonia.). Acute bronchitis.

When the pleuritis spreads and involves the lungs and bronchi, as it sometimes does,

constituting a case of pleuro pneumonia, which it sometimes does, though it is oftener

the other way in my experience, i.e., beginning in the lung first; the pneumonic remedies

must come into the case, viz., Phosphorus, bronchitis with severe cough, which is worse

in the evening, and when lying on the left side, dyspnea with a sense of heaviness in the

chest. It generally comes in the later stages of the disease with purulent infiltration, and

in flat chested people of a consumptive build. It must be used in those cases which

"hang fire" in the process of convalescence, after improvement sets in and consumption

threatens, or in those cases which show decided tubercular signs, and just here is where

Tuberculinum may do good work in cases having a decided tubercular family history. I

have seen such cases do well on a dose of this remedy once a week, interpolated with

the other indicated remedies, just as we give Psorinum in psoric cases.

Cough character—Dry tickling cough; hollow cough; harsh, irritating cough; loose cough,

with mucopurulent expectoration.

Cough aggravated by—worse When entering a room; or going from warm into cold air;

from odors; before a thunder storm; evening till midnight; laughing, talking, eating,

drinking; lying on left side.

Cough ameliorated by—better after sleeping, lying on right side; from cold drink;

pressure on chest.


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Accompaniments—Tightness across chest; burning soreness, pain in larynx (aching);

splitting headache; night sweats, burning in back between shoulders. Thin, light haired,

slender people, inclined to cough. Flat chested short breathed.

Many more symptoms, both objective and subjective, might be added, but these are

leading. The rest of the picture must be found in the Materia Medica, as must those of all

the other remedies. In acute inflammations of the respiratory organs as well as in

chronic, this is one of the most valuable of remedies. See pneumonia for its especial

sphere of action there. Also tuberculosis for indications there. Phosphorus and Bryonia

come quite close together, yet there are generally diagnostic points that are quite

reliable. They follow each other well, as do also Sulphur and Phosphorus. Rumex is

another remedy that should come into the list for comparison and Causticum must not

be left out. Bryonia, Phosphorus, Sulph., Causticum, Rumex, quintette. Nash

Lycopodium

Lycopodium is one of the best remedies for the later stages of typhoid or neglected

pneumonia, and is especially indicated when there is copious expectoration, the

parenchyma of the lung sounds full of mucus, there is often circumscribed redness of the

cheeks, especially at 4 to eight PM; often red sand in the urine and fan like motion of the

alae nasi. It is often the best remedy to finish the cure where there have been liver

complications such as we noticed under Mercurius, Chelidon. and Kali carb. Of course, if

we have the flatulent condition so characteristic of this remedy it is additional indication

for its use. Pneumonia.

Lycopodium is one of the best remedies if the catarrh is of the dry form; stoppage of the

nose at night, so that the patient has to breathe through the mouth. If given not lower

than the 30th and not too frequently and at too short intervals, it will cure many cases

and prevent adenoids, or remove by curing them. Of course the other Lycopodium

symptoms and constitution will, in greater or less degree, be found present. Chronic

nasal catarrh

This remedy, relegated by the old school to baby—land (powder) because they do not

and cannot know, as we do, the virtues of medicinal substances until they are willing to

divest themselves of the prejudice, so far as to resort to our methods of proving drugs, is


170

one of which we sing loud praises. So far as tubercular trouble is concerned it may be of

use not only in pulmonary tuberculosis but in that kind of manifestation in any part or

tissue. Again, it may be indicated in any stage of phthisis. In weak, puny, sickly bodies,

with well developed heads, but irritable nervous people, who are peevish and cross,

especially after sleep; persons of dark complexion (Iod. and Nit. ac.), intellectually keen,

but weak and deficient in muscular development; upper part of body wasted, lower part

semi—dropsical, with tubercular history or predisposed to lung or hepatic disease. This

is the constitution and temperament that is most apt to develop Lycop. symptoms. It is

one of the main remedies in which, as Professor Bennet says, the disease seems to

begin as one of essentially faulty nutrition, for notwithstanding the emaciation, or

tendency thereto, there is canine hunger, the more he eats the more he wants to; but in

eating, while he feels as though he could eat a ton, the first few mouthfuls fill him right up

full and he can eat but little after all, on the other hand, there may be a constant sense of

satiety, and excessive accumulation of flatulency, with much rumbling and gurgling in the

intestines. These cases are often subjects of he lithic diathesis and often present red

sand in clear watery urine, which may be accompanied with much pain in the region of

the kidneys. All this may be controlled and the development of tuberculosis prevented by

a skilful administration of Lycopodium. Then again it is one of our very valuable

remedies in advanced cases of tuberculosis. A badly treated or neglected pneumonia,

where pneumonic infiltration or hepatization is remaining, and needs something to

promote absorption, often finds help here in Lycopodium. Cough may be dry, or loose as

if the chest were full or mucus, with rattling, and the expectoration thick, green, salty, or

offensive. If there is fever (hectic) it is often worse from 4 to eight PM, and is especial

indication for this remedy. I have seen even incurable, far advanced cases so improve

as to astonish all observers. It is wonderful the wide range of usefulness of this remedy

when well chosen, and here let me say from long observation that the low or crude

preparations of this drug are almost worthless. It must be used in the potencies from the

30th

Cough character—Dry, day and night, fatiguing, or loose in the morning with grayish

yellow, salty sputum.

Aggravations—worse 4 to eight PM; on alternate days; stretching out the arms; stooping

or lying; in a warm room.


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Concomitants—Chilly 4 to eight PM feet cold, seven PM. Flushes of heat towards

evening vomiting sour between chill and heat; thirst for small quantities during fever

(Ars.). Sweats easily; wants to uncover. Affects right side most, or goes from there to the

left. Unresolved pneumonias, especially with liver complications. Much flatulence, Red

sand in the urine.

Lycopodium is a remedy of wide range, and deep action. It should never be given below

the 12th potency as its remedial properties are not developed below that. Raue verified it

in "a case with expectoration of large quantities of pus, cough day and night hectic fever,

circumscribed redness of the cheeks." Others have done the same. Many of the

symptoms indicating Lycopodium in respiratory diseases often lie outside the local

trouble, such as the stomach, liver and abdominal. This is what distinguishes

homoeopathy from old schoolism, that regards as paramount the local pathology of the

case. Tuberculinum is often a valuable complementary or can be interpolated with

advantages in cases having a tubercular history. Nash

Sulphur

Sulphur

Pneumonia assumes a torpid character, with slow solidification of the lungs; there may

still be much rattling of phlegm in chest; frequent weak, faint spells, and flush of heat;

feels suffocated; wants doors and windows open; constant heat on top of head. Torpid

typhoid pneumonia, with short, rapid breathing, a mere heaving of the chest; cough and

expectoration nearly impossible; the patient responds sluggishly, comprehends slowly;

worse about midnight. Neglected of occult pneumonia, occurring in psoric patients. and

which threatens to terminate in tuberculosis pulmonum, or in phthisis pituitosa.

Pneumonia passing through its first stages normally and then remains stationary; such a

deficiency of reaction points to Sulph., as the remedy, where it accomplishes the

absorption of the infiltration and prevents suppuration, when there are no typhoid

symptoms and no tendency to phthisis pulmonum, bronchial respiration and hepatization

most plainly heard on back. Pneumonia in infants and old people.

During convalescence chest feels empty and weak, it tires him to talk, weakness in

stomach at noon, must eat something at that time; stooping appearance.


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Sulphur 30th once in 2 hours will complement and often conquer the disease in its first

stage. These two remedies will abort many cases, if we are called to a case of this

character in time, as I can affirm from experience. Pneumonia.

Sulphur follows well either of these two remedies, especially in psoric constitutions, and

will often "finish up" the case and prevent its running into the chronic form.

Sulphur has always, and perhaps always will, occupy first place in the third stage, as

indeed it does in many other diseases where the process of absorbing the effusions

which are the result of acute or even chronic inflammation is desired. It is especially

useful if after the violence of the storm of active inflammation is passed there remain

fitful flashes of fever ending in debilitating sweats, faintness or weakness.These are the

cases which do not finish up their stages well, and it is generally on account of psoric

taint in the patient. Hence relapses occur again and again on account of deficient vital

reaction. We have not only the disease to deal with, but a condition of the patient which

existed before hand, perhaps all his life. Such patients will have Sulphur symptoms in

general. The case will not clear up, the apparently indicated remedy does not act

satisfactorily. It may be a Sulphur subject, viz—lean, stoop—shouldered persons, who

walk or sit stooped, standing especially aggravates. Skin eruptions are present, or where

in his usual condition, but especially if they have disappeared during the progress of the

disease. If this latter is the case probably a restoration of the skin eruption will be

necessary before there will be satisfactory improvement or cure. Burning in chest, skin

or locally in many places, and especially of the feet, which must be stuck out of bed to

cool them. Weakness, or weak, empty or gone feeling at the stomach, especially worse

at eleven AM; white tongue with very red tip and borders, bright redness of the lips as if

the blood would burst through, or redness of any and all orifices. All or any of these

symptoms present will point to this great antipsoric, and when we remember its strong

powers of absorption, we may then readily understand why Sulphur leads the van in the

list as a "finisher" of the case. Pneumonia.

Cough character—Dry, short, violent. Dry cough, worse nights, at other times loose

cough, with rattling and gagging; expectoration greenish lumps, or sometimes blood

mixed with pus. Sputa oppressive (Psor. and Sang.).


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Cough aggravated by—worse talking eating, breathing in cold air, lying.

Cough ameliorated by—worse sitting up.

Cough Concomitants—Chest sensitive on percussion, in sports. Soreness or stitch in

upper portion of left chest. Burning in chest with heat in face. Rattling in chest when

talking; weakness in chest. Flushes of heat all over Burning in feet. Faint spells. Want of

air, wants windows open.

This remedy has such a wide range of action and covers so many symptoms that it is

apt to come into use in many cases, and especially if on account of psoric complications

other seemingly indicated remedies do not act. It will become, as Hering used to call it, a

"finisher" of acute cases which convalesce unsatisfactorily. It promotes absorption of

disease products, as effusions etc., and promotes the resolution of unresolved

pneumonias, the hepatizations, etc. It will cover many cases of incipient phthisis, and

here (must be given high to get its best work. No remedy has a winder range of action or

deeper and more lasting results. It is especially indispensable in chronic diseases and in

those tending to become so. Nash

Kali carbonicum

Kali carbonicum also has stitching pains running through lower part of right side, and the

cough is worse toward three AM, there is wheezing and rattling breathing, pulse often

intermitting. It is often a complementary to Bryonia when that remedy has only partially

relieved the stitching pains. Of course Mercurius and Kali carb. cases are oftener the

ones in which bilious or pleuritic complications are markedly present. Pneumonia.

Kali carb. may be indicated in the first or incipient stage when after pleurisy or

pneumonia there remains a pain or soreness in the right lower lobe, the pain may be dull

or stitching in character. This remedy comes in particularly well after Bryonia, if that

remedy did not remove all the trouble. No two remedies oftener complement Bryonia in

such cases than Sulphur and Kali carb. The stitching pains of Bryonia are relieved by

rest and pressure or lying on the affected side. But with Kali carb.the pains are not so

relieved, and occur in different parts as well as in the chest. Other remedies having


174

marked action on lower right chest are Merc. and Chelid. (Nat. sulph.—left). The

COUGH is at first dry, hard and fatiguing, and characteristically worse at 3 or four AM.

Later it becomes loose with much expectoration. These are a few only of the symptoms

that may appear in a Kali carb. case. It is certainly a great remedy. Kali carb. and Carbo

veg. complement each other well, of course only when indicated.

Kali carbonica has done beautiful work, especially in elderly people, where the patient

had to sit bent forward to breathe, and the cough was decidedly worse at three AM.

Anaemia with baglike swelling of upper eyelids is strongly corroborative. Asthma.

Cough character. Dry, hard, exhausting; sometimes with purulent expectorations, mixed

with blood and thin mucus; or white masses fly from the mouth (Badiaga.)

Cough aggravated by worse warm food, exercise, lying on left side; three AM all

symptoms.

Cough ameliorated by better after breakfast.

Accompaniments: Stitching pains everywhere, but especially in right lower chest through

to back. Sac like swelling of upper eyelids. Chilliness at noon, at night heat, weakness of

the chest. Much inclined to take cold (Tuberc.). Adapted especially to anaemic or

dropsical constitutions.

This remedy, or which Hahnemann said "persons suffering from ulcerations of the lungs

can scarcely get well without this antipsoric," is certainly one of our very best. The

location of the pain, lower right chest, is very valuable. Mercury and Chelidon. also act

here, while Sanguinaria and Calcarea act on the middle lobe, same side. Arsenicum,

upper right to back. Upper left, Therid., Anis., Pix liquida, Sulph. and Tuberculin. etc., of

course other indications agreeing. The stitching pains occur everywhere. Even temples,

eyes, teeth, etc., but are not necessarily worse and by motion as are those of Bryonia,

except in pleurisy where they may be. Suppressed or delayed menses in young women,

with much pain and weakness in the back, may be saved from consumption by this

remedy.


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If you do not have the Mercurial mouth in pleuritis and the point is in the same locality

running through to the back, or it may be in the left side, and the cough is worse at three

AM Kali carbonica will out rank Mercury and is complementary to Bryonia. Nash

Late stage or asphyxia stage of pneumonia

Cameron Kyle-Sidell, a New York intensivist, compared the death from COVID-19 as

people dying from asphyxia, which I agree.

He stated, “It appears as some kind of viral-induced disease most representing altitude

sickness. It is as if tens of thousands of my fellow New Yorkers are on a plane at 30,000

feet and the cabin pressure is slowly being let out. These patients are slowly being

starved of oxygen.

I have seen patients... take off their oxygen masks... and eventually get blue in the

face. And while they look like patients absolutely on the brink of death, they do not look

like patients dying of pneumonia.... They look as if they've been dropped off on the top of

Mount Everest without time to acclimate.”

FROM NYC ICU: DOES COVID-19 REALLY CAUSE ARDS??!! https://www.youtube.com/watch?v=k9GYTc53r2o

Special rubrics for pneumonia cases in their last stage during the COVID-19

CHEST; INFLAMMATION; Lungs; stages; neglected (32) : 2am-c., ant-i., ant-s., 2ant-t., ars., ars-i., aur., bry., calc., calc-s., 2carb-v., chin., grin., hep., kali-c., kali-i., kali-n., 2lach., 2lob., 3Lyc., nit-ac., 2phos., plb., pyrog., 2sang., 2sep., 3Sil., stann., sul-ac., sul-i., 3Sulph., verat-v.

CHEST; INFLAMMATION; Lungs; old people (30) : 3Acon., ant-ar., 2ant-t., ars., 2bell.,

2bry., 2carb-v., cham., chel., 2dig., 2ferr., 2ferr-p., gels., helo., 2hyos., 2iod., 2ip., 2kali-

c., lach., lyc., 2merc., 2nat-s., 2nit-ac., 2nux-v., 2op., 2phos., 2seneg., 2sulph., 3Tub.,

verat.

GENERALITIES; COLLAPSE; pneumonia, with (9) : 2am-c., 2ant-t., 2ars., 2camph.,

3Carb-v., 2dig., 2ferr., 2phos., 2sul-ac.

CHEST; PARALYSIS; Lung; catarrhal states, from (16) : 3Ant-t., 2ars., 2camph., carb-

v., 2chin., dros., graph., hep., 2ip., merc., phos., puls., samb., spong., sulph., verat.

https://www.youtube.com/watch?v=k9GYTc53r2o


176

CHEST; PARALYSIS; Lung; old people (12) : 2ant-t., 2ars., aur., 3Bar-c., 2carb-v.,

3Chin., con., 3Lach., lyc., 2op., phos., verat.

CHEST; INFLAMMATION; Lungs; cerebral type (15) : acon., arn., bell., bry., cann-s., canth., hyos., lach., merc., nux-v., phos., puls., rhus-t., stram., sulph. CHEST; INFLAMMATION; Lungs; typhoid (31) : acon., 3Ant-t., 3Arn., 3Ars., 2bad., bell., 2benz-ac., 3Bry., cann-s., chin., 2hyos., ip., lach., lachn., 2laur., 3Lyc., merc., merc-cy., nat-m., 2nit-ac., nux-v., 3Op., 3Phos., puls., 2rhus-t., 2sang., 2stram., 3Sulph., 2ter., 3Verat., verat-v.

MIND; STUPOR; pneumonia, in (10) : 2am-c., ant-t., carb-v., 2chel., crot-h., 2hyos., lyc., 2op., 2phos., zinc. CHEST; INFLAMMATION; Lungs; sleepiness, with (1) : ferr-p. RESPIRATION; ABDOMINAL (17) : am-m., 3Ant-t., apis, arg-n., 2aur-m., bry., choc., cupr., 2ferr., kali-cy., kali-i., 2mur-ac., 2phos., 2spong., 2stram., ter., thuj.

RESPIRATION; ASPHYXIA (31) : acon.1058, am-c.5, 3Ant-t.1, arn.1058, ars.54, bell.1058, 2camph.1, 2carb-v.908, 3Carbn-o.908, 2carbn-s.1, chin.1, 2chlor.1, cimic.25, 2colch.122, crot-h.5, cupr.193, 2hydr-ac.5, hyos.5, hyper.908, lat-m.119, laur.1058, nux-v.1058, 2op.1, rhus-t.1, sec.54, 2sin-n.1, sul-h.102, tab.1, upa.102, verat-v.908, vip.5

Lycopodium (see above)

Sulphur (can be indicated in any stages (see above))

Carbo vegetabilis

Many cases of pneumonia that have seemed hopeless, in a state of collapse, blood

stagnating in the capillaries, causing blueness, coldness and ecchymosis, with the

foregoing chest symptoms, may be saved by this remedy. The difference between Carbo

veg. and Arsenicum in this stage is that the erethism and restlessness is very marked

under the latter, and lack of manifestation of vital force under the Carbo veg. It is not

only here in these affections that Carbo veg. is useful, but in typhoids and other diseases

where these conditions are present.


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Carbo veg. complements it if there is great prostration, sunken hippocratic face, general

coldness and blueness, and there is rattling respiration and dyspnea with desire to be

fanned hard to help the breathing. Pleuritis.

Cough by spells or no cough; if cough with rattling but too weak to expectorate (Ant.

tart.); Ant. tart. has failed; hippocratic face, nose pinched and cold; lips, hands, feet and

skin blue and cold, breath cold, dyspnea great, wants to be fanned, can't get oxygen

enough, vital force almost expended. I have seen several such cases come out under

Carbo veg., re—action setting in so that other remedies that did not act satisfactory will

now take hold and do better work. Antimon tart. is often of great utility where the case

has gone into what might be called the "loosening up" stage. The chest seems full of

mucus with coarse rattling and cough which seems as though it must bring up large

quantities, but it does not; the patient becomes cyanotic from want of oxygen, which the

great accumulation of mucus shuts out, there seems to be lack of strength to

expectorate, even threatened paralysis of the lungs; fits of suffocation. This is the

condition that precedes the desperate stage of Carbo veg. and may save the patient

from it. It is oftenest found in children and very old people. Pneumonia.

Carbo veg. if there is dark or light colored hemorrhage with perfect indifference,

especially if there is excessive paleness of the skin of whole body.

If, notwithstanding the use of Ant-t., the rattling and weakness increase, the cyanosis

also, until the blood stagnates in the capillaries, the extremities and breath become cold,

and the patient gasps fan me, fan harder, Carbo veg. is still able to turn the scale in

favour of the patient. I have witnessed this result more than once. It is in these cases

more of a broncho—pneumonia than simple bronchitis.

It, like the Kalis, maybe indicated in any stage of phthisis. If it begins in the larynx with

painless hoarseness; great roughness with deep rough voice (Dros.) which failed on

exerting it; worse from damp evening air (Caust., worse morning), this is the first

remedy. It is particularly good for this condition in elderly people of broken down

constitutions, venous system preponderating. But its use is by no means confined to the

aged. The Carbo veg. subject is one of generally reduced vitality, which may or may not

have followed on the heels of some acute disease from which she never recovered, is


178

apt to be pale, anemic, with scorbutic gums and flatulent and easily deranged stomach;

much gas which presses upward (Lyc., downward, intestinal) and is quite subject to

hemorrhages from gums, nose or lungs. A characteristic of these hemorrhages with this

remedy is the great paleness of the skin. The breathing is short, oppressed, wants more

oxygen, hunger for oxygen, wants to be fanned hard, or had doors and windows open.

Circulation is weak, with coldness of extremities, especially knees. There is sensation of

weakness and fatigue in the chest, sometimes with burning as from glowing coals.

Aching through apex to right scapula (left Myrtus, Sulph.). It has two kinds of cough, one

dry, hard, spasmodic, the other loose, with purulent, salty (Kali hyd.) or offensive sputa

(Sang. and Creosot.). These with more symptoms show how valuable this remedy is. It

is not used so often as it might be with great advantage, especially by the materialists

who can see nothing above the twelfth potency.


Much rattling, but little or no effort to expectorate.

Cough—Predominantly loose, with coarse rattling of mucus, which is often difficult or

impossible to raise. Bronchia and chest seem loaded with it. Seems as though a cupful

would be expectorated with each cough, but little comes up. Aggravation—worse as the

accumulation increases and when lying down. Amelioration—better on expectoration

and on sitting up. Accompanied by—Yawning, dozing and sleepiness; cyanosis from

carbonized air; twitching; short breath from suppressed expectoration; coarse rattling of

mucus; hepatization. This condition calling for Antimon tart. may be found in la grippe,

pneumonia, broncho—pneumonia, bronchiectasis, senile catarrh, capillary bronchitis of

children, oedema of the lungs, atelectasis, emphysema and threatened paralysis of the

lungs. It is especially found useful at both ends of life. (children and old age), though by

no means confined there. It resembles most perhaps Ipecac (in children), but the noises

(in Ipec.) from the mucus in the tubes is more of an asthmatic or wheezing nature. In the

later state of broncho—pneumatic troubles when the cyanotic state, and the coarse

rattling mucus do not yield to Antimonium tartaricum, Carbo veg. follows well after it, and

Sulphur or Lycopod. latter, to finish cure the case.

Antimonium tartaricum is almost always loose cough with much coarse rattling of mucus,

which is so abundant that the patient becomes cyanosed and cannot raise it. This is a


179

serious condition and Antimonium tart. will often help. It is particularly found indicated in

children and old people. Nash

Opium

Stertorous breathing in an unconscious breathing. Puffing respiration is a keynote of the

remedy in this comatose state.

Opium is sometimes of great use in old topers, where there is sopor with heavy

breathing, even stertorous; the whole body bathed in a hot sweat, and the patient

complains of the bed feeling too hot. Nash

At times feels as if he were not in his house, which he expresses by saying, "I wish I

could be in the house with my family," although in a desperate condition he is not much

alarmed and wants to sit up a great part of time, because bed feels too hot, whole body,

except lower extremities, perspires profusely, sweat is very hot, perspiring parts covered

by a heavy crop of sudamina, gropes with his hands about bed as though hunting

something, whole left and considerable part of right lung hepatized.

Frothy mucus, great oppression, tremor, feeble voice, anxious sleep, with starts, legs

cold, chest hot. Hering

Carboneum oxygenisatum (Carbn-o) (carbon monoxide)

E. Farrington: “A wide field for study, and once scarcely yet trodden by the therapeutist,

is that which gives us substances capable of causing and curing asphyxia.

Carboneum oxygenisatum, as a remedy serviceable in asphyxia arising from pulmonary

affections, it would seem to stand between Carbo vegetabilis and Opium having the

hyperemia of the latter with the coldness of the former. Cases of poisoning with the gas

have developed pleurisy, bronchitis, emphysema, with bloody sputum, weakened

vesicular murmur, and pneumonia. Its subjective symptoms are: “Anxiety in the chest or

feeling of a heavy load on the chest, etc.” There are also recorded, rattling of mucus in

the air-passages, bloody mucus raised from the bronchi, heat in chest, and abdomen,

extremities cold.


180

Want of oxygen in animal tissue invariably leads to a general disturbance, the central

phenomena of which appear in respiratory and cardiac symptoms. The blood in the

capillaries is retarded in its flow, and at length fails utterly to pass into the veins. Then

the heart, which at first worked harder to overcome the resistance, beats more and more

quickly, but at the same time more and more feebly, until it finally becomes paralyzed.

Such a calamity follows first, because the heart muscle is exhausted by its undue efforts,

and secondly, because its blood, deprived of oxygen, fails to impart its essential

stimulus.

The symptoms which more or less characterize asphyxia are: "Pectoral anxiety,

dyspnea, rapid feeble pulse, surface coldness, restlessness or stupor, with cold blue

skin.”

The patient soon feels stupid, confused or acts like one drunk. Respiration becomes

stertorous and slow; the breath becomes cool, and complete unconsciousness.

The temperature falls perceptibly.

Carbon monoxide is much more poisonous, producing death, not only by suffocation, by

displacing the needed oxygen, but by another remarkable peculiarity. It has the property

of displacing oxygen from the blood and taking its place there. You know that oxygen is

carried along in the blood by the red corpuscles. Carbonic oxide has the power of

supplanting the oxygen in these structures. For a time, it seems to act like oxygen, but

soon its poisonous properties are manifested with all the inevitable results of asphyxia.

E. Farrington

Prickling in the mucous membrane of the nose, sneezing, and profuse secretion of

mucus.

There was a short dry cough.

Short cough when moving.

Respiration was very much oppressed, with very great desire to lie down.

Weak, could not get up.

Respiration 26; on deep inspiration stitches in the lower portion of the right half of the

chest.


181

Dullness in the lower portion of the right side of the chest; respiratory murmur impaired,

with fine rales; through the other portions of the lungs were coarse rales with increased

respiratory murmur.

Respiration irregular and superficial.

Breathing labored, blowing, and irregular.

Respiration rapid and sonorous, resembling a groan more than snoring.

Respiration inaudible at a short distance, extremely short and suffocative, with intervals

of suspension.

Asphyxia and an increase of the pulse from 73 to 137

Found in a comatose condition; afterward pleuro-pneumonia of long duration.

Stertorous respiration, pneumonia on the right side.

Dryness and scraping in the throat, causing cough.

Rattling of mucus in air-passages.

Bloody mucus is raised from the bronchi.

Respiration audible, almost rattling, slow, stertorous.

Respiration rattling.

Respiration rattling, now and then intermitting.

Stertorous breathing.

Respiration is for a long time quiet, but afterwards it becomes accelerated, frequently

with extraordinary energy and rapidity; expiration is quick, inspiration deep, rattling; latter

there occur periods of complete intermission, followed by four or five inspirations.

Respiration very soon becomes slow and stertorous, breathing now rapidly, now slowly.

Respiration 24 (after one hour).

Respiration 20 to the minute.

Respiration short and rapid.

Expiration greater than inspiration.

Respiration oppressed.

Respiration difficult and interrupted.

Respiration very labored.

Somewhat impeded respiration.

Sense of suffocation.


182

Sense of a burden on the chest.

On breathing, feeling as if a heavy load on chest.

Short cough, oppression, dyspnea.

Dull sense of smell and taste.

Great sleepiness for several days.

Never slept so long before.

Temperarute: subnormal 34.6 to 38 [39].

At night, in bed, burning heat all over, without thirst; despite this heat and fever, slept

lightly until one AM, after which increase of heat, with thirst and dry mouth; the thirst was

satisfied by drinking only a little; the heat, as well as the thirst and fever, now gradually

diminished, and the bed, which had hitherto been too warm, was now too cold, so that

he had to have more covering; sleep returned[37].

Marked relief, especially to heaviness on chest in fresh air.

Patient depressed and stupid.

Apathetic.

With the lassitude, an unusual apathy, and indisposition for any muscular exertion.

Mental inactivity.

Mind sluggish.

Felt in a very confused and stupid state.

Confusion and stupefaction of the senses and intellectual faculties, amounting at last to

complete unconsciousness.

Answers only with difficulty.

Stupor and imbecility.

Consciousness disappears

Complete loss of consciousness.

Comatose.

Could not be aroused.

Looks anxious.


183

Face pale.

Pale face, warm to the touch.

Very pale face, continued for several days.

Extremities quite cold.

Pulse varying in force and frequency, at times almost imperceptible, the number ranging

at different times from 80 to 120.

He appeared like one whose functions and powers of the system were almost

extinguished.

No motion of any muscles except those concerned in respiration, which was chiefly

diaphragmatic.

His appearance was that of a calm and tranquil sleep; countenance was of a pale leaden

aspect.

Extraordinary weakness.

General debility and malaise.

Felt his strength fail him.

Every voluntary moment, even speaking, difficult.

Rising and walking seemed a most tremendous exertion.

In morning could not rise up.

Prostration.

Great prostration.

Complete prostration.

Inclination to faint.

Sensibility of sight, hearing, smell, and taste also greatly lessened.

Body all sore.

Whole body sore to touch.

Soreness of all the muscles, as after excessive fatigue.

Dryness of the throat.

The sore throat continues, and extends to the right ear.

No inclination to eat.

Anorexia

Nausea and vomiting.

Loss of consciousness for a long time. Allen


184

Similarities between Covid and carbon monoxide poisoning (CMP) pathology

“The signs and symptoms of nonlethal carbon monoxide exposure may mimic those of a

nonspecific viral illness. Since viral illnesses and carbon monoxide exposure both peak

during the winter, a substantial number of initial misdiagnoses may occur.”clxviii

Flu-like illness is the most common misdiagnosis.clxix

Radiographic changes of the lungs in patients with CMP: Roentgenologic abnormalities

were observed in 18 cases. “The ground-glass appearance was the most common

finding, usually representing the initial manifestation of acute carbon monoxide

poisoning. This was observed in 11 cases: 6 cases as the only manifestation.

“The ground-glass appearance was the most common roentgen finding of acute carbon

monoxide poisoning, usually representing the initial chest manifestation. This lesion

presents as a soft, veil-like, homogeneous density occurring predominantly in the

peripheral portions of the lung.

“Accordingly, the ground-glass appearance in acute carbon monoxide poisoning may be

considered parenchymal interstitial edema caused by tissue hypoxia and/or the toxic

effect of carbon monoxide on alveolar membranes.”clxx

“The pulmonary edema of carbon monoxide poisoning may develop from one of several

pathophysiologic mechanisms. The effect of prolonged hypoxia plus the toxic action of

carbon monoxide itself affects capillary permeability and gives rise to pulmonary

edema.”clxxi

“Pulmonary changes in acute carbon monoxide poisoning might be compared to a mirror

image of tissue damage reflected on the lung fields. These changes suggest tissue

edema or hypoxia on one hand and interfere with arterialization of the blood in the lungs

on the other, resulting in a further marked degree of tissue hypoxia.”clxxii


185

Pulse is rapid, about 120 per minute, respirations, intermittent with occasional periods of

apnea; and temperature, 97.3. … Decreased breath sounds and scattered ronchi were

heard bilaterally.clxxiii

Generalized scattered rales are found in both lungs in both Covid and CMP patients.clxxiv

Intra-alveolar edema was demonstrated in 3 cases with CMP.

“The gross pathologic changes of the lung in 351 fatal cases reported by Finck in 1966

were congestion and/or edema in 66 per cent and hemorrhage in 7 per cent of the

cases.

“The pulmonary changes in acute carbon monoxide poisoning are attributed primarily to

prolonged hypoxia and the toxic action of carbon monoxide itself on the alveolar

membranes. These factors affect capillary permeability and cause pulmonary

edema.”clxxv

On gross examination in both Covid and CMP poisoning, the lungs are edematous and

vivid-red (described as carmine redclxxvi for CMP) with the absence of mucous secretion

or hemorrhage.clxxvii

In CMP elevation of the right hemidiaphragm was found 7 patients (which was thought to

be due to lung fibrosis).

Both Covid and CMP patients present with tachycardia and tachypnea.clxxviii

“Unconsciousness occurs at about 60% saturation and death occurs at 60-80%

saturation.”clxxix

Both Covid and CMP patients have significant metabolic acidosis, LDH and elevated

AST.clxxx,clxxxi,clxxxii

Hyperbric chamber therapy that is found beneficial in CMP patients could potentially be

found useful in Covid patients with ARDS.


186

Ammonium carbonicum

Cough in the morning at 3 or 4 o'clock, or at night disturbing the sleep, with spasmodic

oppression; incessant cough, excited by a sensation as of down in the larynx,

aggravated after eating, talking in the open air and on lying down; the paroxysms of

cough are followed by a high degree of exhaustion, especially when complicated with

coryza and influenza.

In the Pneumonia of old people, with the characteristic cough symptoms, we have

found Ammonium carbonicum of considerable benefit. It is a remedy too apt to be

overlooked. It meets those cases with copious expectoration, and incessant cough,

excited as if from down in the larynx, and greatly aggravated at 3 or four AM. Hoyne

Arsenicum album

Extreme prostration, in a very anxious and very chilly person. Very restless from anxiety.

Marked anxiety in the face. Thirsty for small sips is a keynote of the remedy. Face very

pale. Great difficulty to keep warm. Aversion to be alone. Great fear of death. Fear of

suffocation. Desire the room to be very warm. Better from warm applications. Can’t be

warmed up. Frothy expectoration, which tends to be offensive. Worse 1-3 AM (wakes

often at 3 AM from anxiety).

Dark, offensive sputa, great weakness, not felt until attempts are made to move or sit up.

Burning and heat in chest, pale face, cold extremities, anxious tossing.

Posterior lobes of both lungs affected.

Impending paralysis of lungs, rattling in windpipe. Hering

Restlessness increases with increased weakness and prostration. There is great thirst

for small quantities at a time, burning pain and heat in chest (Sang.) feels better from

warmth and is worse from 1 to three AM generally.

Arsenicum is most likely to come in after Rhus tox. If the restlessness continues and

added to it the weakness and prostration increases. There is great thirst for small


187

quantities at a time, burning pain and heat in chest (Sang.) feels better from warmth and

is worse from 1 to three AM generally.

If the thirst is for cold water in small and often repeated quantities, there is great

dyspnea, and little pain which motion greatly aggravates, increasing the prostration and

the dyspnea, notwithstanding the patient suffers great anguish and restlessness, so that

he wants to be moved or carried from room to room, or place to place, and especially if

all is aggravated at night, 1 to four AM, Arsenicum album must be given and will often

change the whole aspect for the better in a few hours. Such cases will be often found in

cachectic persons, drunkards, malarial subjects and in pyothorax.

Sharp, fixed or darting pain in apex and through upper third of the right lung. In general

the patient begins to grow weak or complains of great prostration, especially on

attempting to exercise or ascend an eminence. An anemic condition is common.

Emaciation begins and the old school physician will now prescribe the inevitable cod

liver oil, to supply the waste, without removing the cause. The BREATHING is

accelerated, rapid, oppressed and accompanied with restlessness and anxiety, all worse

by exertion and lying down, and specially at midnight. It is apt to become asthmatic at

times, with much wheezing and constriction. The COUGH is worse on lying down and on

rising in the morning. It is also often worse at midnight or 1 to three AM especially when

the asthmatic symptoms are present. The EXPECTORATION is characteristically frothy

saliva. Here it outranks all other remedies. Bloody sputum is often present and mixed

with the froth. Many other symptoms may be present and confirm these. Nash

Camphora

Pneumonia of old people, with sinking of forces, dry burning heat and dyspnea, slight

moisture on face, rattling breathing indicating threatening paralysis of lungs.

In later stages of pneumonia, short, anxious, oppressed breathing, with chill and heat

alternating.

Hepatization of right lung, of lower lobe of left.

Hepatization of left lung, and some pleuritic exudation. Hering


188

Digitalis

Pneumonia of old people, with prune juice expectoration, symptoms of collapse and

heart failure.

Moist rales, yet cough dry; pulse thready. Senile pneumonia. Hering

You prefer to have nausea being present in the case, as a confirming symptoms for

prescribing Digitalis.

Ferrum metallicum

No ailments previous to the chill; dyspnea increases slowly; face pale, and in adults it

becomes collapsed, hippocratic or expressionless, stiff and stupid; the roof of the mouth

always white; skin neither cold nor burning hot; pulse neither full nor hard; stool

consistent, brown.

Hydrocyanic acid

In the last stage of asphyxia. Cyanotic appearance. The patient becomes cold, with

gradual extinction of pulse. Marble coldness of whole body.

Crotalus horridus

For patients who are on their last breath, often from total organ failure. Extreme

prostration or unconsciousness. Indifference. Tongue is out. Dry tongue. Dark and

eventually suppressed urine. Yellow discoloration of the sclera and then the face. Dusky

face. Twitching of the muscles.

Lachesis

Threatening paralysis of lungs, greatest difficulty in breathing, with long lasting attacks of

suffocation.

Suffocating fits, waking from sleep with throwing arms about, cyanotic symptoms, black

urine.

Sharp pain through lungs, great dyspnea, worse sitting erect, or lying down, better

bending forward and throwing head back, feeling of intense constriction in all parts of

chest, as if lungs were being pressed up into throat, causing extreme agony, so that she


189

despaired of life, feeling as though a cord was tightly tied around neck, must loosen

clothes at neck and epigastrium, at times sensation as though heart turned over and

ceased beating for a moment, then commenced again with increased force, lung seems

full of mucus, yet none can be raised, face almost purple during paroxysms. Hering

Stupor increases, the weakness also; the patient is unable to put out the tongue, it

trembles and catches behind the lower teeth when trying to protrude it, showing great

weakness, there is great oppression of breathing with aversion to having anything touch

the chest or throat, pulse weak and intermittent, with general aggravation of the whole

case after sleep. Left sided pneumonia oftenest calls for this remedy.

Cough aggravated by—worse falling asleep; after sleep; in sleep without waking. Cough

ameliorated by—better after raising a little. Nash

Convalescence after influenza and pneumonia

GENERALITIES; CONVALESCENCE, ailments during (90) : abrot., ail., 2alet., alum., am-c., ambr., apoc., aq-mar., ars-i., 2ars-s-r., art-v., asar., aur., 3Aven., bac., bapt., 2bold., cadm., cadm-s., 3Calc., calc-p., caps., 3Carb-v., cast., chel., 3Chin., 2chin-ar., coca, cocc., 3Con., cupr., 2cur., cypr., echi., 2ferr., ferr-acet., flor-p., foll., form-ac., gels., graph., guai., 2hep., hydr., kali-c., kali-chl., 3Kali-p., lach., laur., lob., lob-e., lyc., 3Manc., mang., med., meph., morg., nat-m., nat-p., nit-ac., nux-v., okou., op., passi., paull., ph-ac., phos., phyt., pneu., prot., psor., puls., 4QUAS., ruta, sang., 2sanic., 2scut., 2sel., 2sil., sul-ac., sul-i., sulfonam., 2sulph., syph., tarax., thuj., 3Tub., tub-a., vario., zinc.

GENERALITIES; CONVALESCENCE, ailments during; influenza, after (11) : alum., 2ars-s-r., asar., 2cadm-s., 2carb-v., 3Con., ferr-p., kali-p., lob-e., 2quas., 3Scut. GENERALITIES; CONVALESCENCE, ailments during; post-influenzal (13) : abrot., 2bac., cadm., cadm-s., cypr., flor-p., lycpr., 3Nat-sal., okou., 2scut., sulfonam., tub., tub-a. GENERALITIES; CONVALESCENCE, ailments during; pneumonia, after (14) : ant-t., ars., calc., carb-v., con., 2kali-c., lyc., mim-p., morg., phos., pneu., sang., sil., sulph. GENERALITIES; CONVALESCENCE, ailments during; pneumonia, after; never well since pneumonia (4) : 2kali-c., mim-p., morg., pneu. GENERALITIES; CONVALESCENCE, ailments during; fever, after (14) : ars-i., aven., 2bold., carb-v., 2chin., cocc., hydr., 3Kali-p., 3Manc., nux-v., 2psor., 3Quas., sulph., tarax. GENERALITIES; CONVALESCENCE, ailments during; infectious diseases, after (15) f2quas., sulph., thuj., tub., vario.


190

GENERALITIES; WEAKNESS, enervation, exhaustion, prostration, infirmity; influenza, after (26) : 2abrot., adon., 2ars-i., 2ars-s-r., 2aven., bac., carb-ac., 2chin., 2chin-ar., 3Con., cypr., eup-per., gels., 2iber., 2kali-p., lac-c., lath., lob-p., macroz., 3Nat-sal., 2phos., psor., sal-ac., sarcol-ac., 3Scut., zinc-o. GENERALITIES; WEAKNESS, enervation, exhaustion, prostration, infirmity; fever; prolonged, after (14) : alst-s., ambr., aven., cadm-s., cast., chin., 2colch., 2con., irid., 2kali-p., laur., 2psor., scut., 3Sel. GENERALITIES; WEAKNESS, enervation, exhaustion, prostration, infirmity; fever; after (17) : alst-c., ambr., 2apis, 2aran., chin., 3Chin-ar., 2con., gent-l., hep., 2ip., 3Kali-p., med., morph., 3Quas., sal-ac., sulph., syph.

Sarcolactic acid

What remedy do you think Boericke is describing in the following passage? "Epidemic

influenza, especially with violent retching and greatest prostration, when Arsenicum has

failed. Tired feeling with muscular prostration, worse any exertion. Sore feeling all over,

worse in afternoon. Restless at night. Difficulty getting to sleep. Tired feeling in the

morning on getting up. Tired feeling in back and neck...extreme weakness...stiffness." It

is Sarcolactic acid. It has fit many cases of influenza and has been very helpful,

especially for the tiredness, muscle aches and soreness described above.

I have frequently been astounded by its action in the most violent forms of epidemic

influenza, particularly in those few rare cases that began with violent uncontrollable

vomiting and retching with the greatest prostration, when arsenicum, though apparently

well indicated, failed. Here a second prescription was never necessary... SYMPTOMS

FREQUENTLY CONFIRMED: a most severe tired feeling with muscular prostration

always aggravated by any exertion progressing to an aching soreness and almost

paretic weakness, especially of the muscles of the calves of the legs and the back. This

then extends itself to the thigh muscles which feel very sore. Following this, there comes

a cramp feeling in the calves going to tightness which persists and which was

accompanied in two provers by a severe contraction of the throat muscles, and in two

others by extreme sensitiveness of the dental nerves. Both mind and body seemed to

present weakness... stomach symptoms were not marked... there developed in all

provers pains of various kinds in the back... of all symptoms these (extremities J. S.)

appeared as most prominent. Griggs


191

Epidemic influenza, especially with violent retching and greatest prostration, when

Arsenicum has failed. Tired feeling with muscular prostration, worse any exertion. Sore

feeling all over, worse in afternoon. Restless at night. Difficulty getting to sleep. Tired

feeling in the morning on getting up. Tired feeling in back and neck...extreme

weakness...stiffness." It is Sarcolactic acid. It has fit many cases of influenza and has

been very helpful, especially for the tiredness, muscle aches and soreness described

above. Boericke

The American Institute of Homeopathy database

The American Institute of Homeopathy has organized an international effort

to collect case date. The effort is called the AIH COVID-19 Data Collection

Project. If you are a well-trained homeopath and would like to contribute,

please email Peter Gold at [email protected] Please make sure to

include your credentials in the email. And please give him 48 hours to add

you and send you login instructions.

References

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lxxviii Recalcati, S. "Cutaneous manifestations in COVID‐19: a first perspective." Journal of the European Academy of Dermatology and Venereology (2020). lxxix Recalcati, S. "Cutaneous manifestations in COVID‐19: a first perspective." Journal of the European Academy of Dermatology and Venereology (2020). lxxx What are the first signs of coronavirus? Surprising JAMA report says 10% show unexpected symptoms. https://www.fastcompany.com/90462364/what-are-the-first-signs-of-coronavirus-surprising-jama-report-says-10-show-unexpected-symptoms lxxxi New York Times, Lost Sense of Smell May Be Peculiar Clue to Coronavirus Infection. https://www.nytimes.com/2020/03/22/health/coronavirus-symptoms-smell-taste.html lxxxii New York Times, Lost Sense of Smell May Be Peculiar Clue to Coronavirus Infection. https://www.nytimes.com/2020/03/22/health/coronavirus-symptoms-smell-taste.html lxxxiii New York Times, Lost Sense of Smell May Be Peculiar Clue to Coronavirus Infection. https://www.nytimes.com/2020/03/22/health/coronavirus-symptoms-smell-taste.html lxxxiv New York Times, Lost Sense of Smell May Be Peculiar Clue to Coronavirus Infection. https://www.nytimes.com/2020/03/22/health/coronavirus-symptoms-smell-taste.html lxxxv Traditional hydrotherapy. The heating compress. https://www.traditionalhydrotherapy.com/Techniques/HeatingCompress.html

https://www.hsdl.org/?view&did=475702

https://www.fastcompany.com/90462364/what-are-the-first-signs-of-coronavirus-surprising-jama-report-says-10-show-unexpected-symptoms



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https://www.mayoclinic.org/diseases-conditions/measles/diagnosis-treatment/drc-20374862

https://www.mayoclinic.org/diseases-conditions/measles/diagnosis-treatment/drc-20374862


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